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Form T111

Document Cited authorities 1 Cited in Related
Vincent
Published date21 March 2018
Subject MatterMental Health Tribunal forms and guidance
Page 1
Referral to First-tier Tribunal
(Mental Health)
Mental Health Act 1983 (as amended)
The Tribunal Procedure (First-tier Tribunal) (HESC) Rules 2008
Do not use this form for applications by or on behalf of patients, use forms T110 or T116.
1. What type of referral are you applying for?
A. Hospital managers referral for an inpatient
6 months
3 years
Community Treatment Order (CTO) revoked
B. Other referral
Specify applicable section of the Act
C. Referral by Hospital Managers in relation to a Community patient
6 months
3 years
D. Referral by Secretary of State
Non-Restricted patient
E. Referral by Hospital Managers in relation to patient transferred from Guardianship to hospital
Yes
No
2. What is the patient’s full name?
3. What is the patient’s date of birth?
4. What is the date of the original Section?
5. If applicable, what is the date the CTO revoked?
T111 - Referral to First-tier Tribunal (Mental Health) (10.18)

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