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Guardianship - Application to First-tier Tribunal (Mental Health) Mental Health Act 1983 (As Amended)

Document Cited authorities 1 Cited in Related
Vincent
Published date21 March 2018
Subject MatterMental Health Tribunal forms and guidance

First-tier Tribunal

Health, Education and Social Care Chamber

(Mental Health)

Guardianship - Application to First-tier Tribunal (Mental Health)

Mental Health Act 1983 (as amended)

The Tribunal Procedure (First-tier Tribunal) (HESC) Rules 2008

Please tick the relevant application type

Application by or on behalf of a patient subject to a Guardianship Order

Application by the patient’s Nearest Relative when Guardianship Order has been made by a criminal court pursuant to section 37 MHA 1983

Please complete all information requested in this part of the application form.

  • An application should contain all the information requested.
  • If you cannot provide the information required below, please give reasons.
  • The tribunal may return an incomplete application form.

Patient’s full name[1] and

date of birth:1

Date(s) of initial Guardianship Order and

most recent renewal date:

Address where patient resides under Guardianship Order.

- Contact person there,

- Telephone numbers:

Local Social Services Authority, including:

individual professional to contact, full address, telephone number, and secure email address:

Name and address of Guardian (if not the Local Social Services Authority):

Professionals responsible for the patient’s care: please give full name, job title, address, telephone and secure e mail addresses:

1) Responsible Clinician

2) Care Coordinator from Local Social Services Authority

3) Other

1.

2.

3.

Nearest Relative details if known

(Non-restricted cases only)

Name:

Address:

Relationship to patient:

Does the patient object to the Nearest Relative being informed about the case?

Solicitor’s details if known

Name of solicitor:

Name & address of solicitor’s firm:

Telephone number:

Secure email address:

Unrepresented:

*Delete as appropriate

  • I intend to appoint a solicitor myself*
  • I would like a solicitor to be appointed on my behalf*
  • I do not wish to appoint a solicitor as I am able to represent myself at the hearing, and wish to do so*

Is an interpreter is required? If so, please enter the language and dialect required:

...

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