Department H0326
of Health 11/92
TE TARI ORA
Mental Health (Compulsory Assessment and Treatment) Act 1992 Section 76
_____________________________________________________________________
Certificate of clinical review
of patient under a compulsory treatment order
made under sections 29,30 & 45 of this Act and under sections 115(2) & 118 of the Criminal Justice Act 1985
__________________________________________________________________________________________________________
Area Mental Health Services, at: _____Rotorua___________________________________________________________
Name of patient _______Malcolm James Lorenzo Baker_______________________________________
Patient's date of birth _____________28 - 07 - 55 ___________________________________________________
Of ___________42 Spencer Avenue______________________________________________
____________Maketu________________________________________________________
who is subject to a compusory
treatment order that
commenced on: ___________________1st November 1992________________________________________
and is in force until: ___________________1st May 1993______________________________________________
I have examined the patient above and consulted with other health professionals involved in the patient's care
and treatment and have taken their views into account when making this assessment.
In my opinion (signed) (i) The patient is fit to be released from compulsory status and directions have been
JHWS tick given for that release
Delete one (ii) The patient is not/ crossed / fit to be released from /out /compulsory status
crossed out crossed out
This certificate is issued by:____James Henry Weir Short________________________________________________
of ____Tauranga Hospital_______________________________________________________
____Tauranga_______________________________________________________________
(signed) _______James H W Short 27/ 4 /93______________________________________