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First Certificate Issued

What is a Review Process/Panel? FORM 7
MENTAL HEALTH ACT
[ Section 25, R.S.B.C. 1996, c. 288 ]

APPLICATION FOR REVIEW PANEL HEARING

The information on this form is collected pursuant to section 25 of the Mental Health Act. It will be used to document and initiate your application for a review
panel hearing. Any questions you have about this form may be addressed to the director or staff of this facility.
INSTRUCTIONS: Please complete this form and submit to the Mental Health Review Board: by fax: 604-660-2403

• When an involuntary patient wishes to become a voluntary patient or be 48 Hours PART A – To Be Completed By Patient/Family/Facility/Team
or by email: MHRBscheduling@gov.bc.ca

To the director of

discharged from hospital and his/her request to the attending physician to

name of designated facility ward/unit

I, , request a hearing by a review panel, in the case of

applicant first and last name (please print)

change his/her status has been denied, a patient may apply for a review Second Certificate Issued
The Review Panel Flow Chart
, .
patient legal first and last name (please print) current mental health team / site / facility

panel hearing by filling in a Form 7. applicant signature signature date (dd / mm / yyyy)

patient personal health number (PHN) patient phone number patient email address

Review Panel held. Patient’s Right to Legal Representation

As the patient you may choose to:

• When a patient, or someone acting on a patient's behalf, submits a request Patient asks for Review Panel Decision given within 2 days.
Attend the Review Panel Hearing without a representative;
Ask a family member, friend or near relative to represent you;

One Month-Renewal Certificate Hearing.

Hire a lawyer in private practice to represent you; or

for review of a physician's decision, the Mental Health Review Board's

Request free legal representation from the Mental Health Law Program (MHLP). If you choose this option, the Mental Health

Certificate renewed. Review Board will submit your request directly to the MHLP, who will contact you to discuss the availability of an advocate at
your hearing. If the MHLP is able to represent you, you understand that you consent to the release of your health records

Issued Review Panel Hearing mist take to the MHLP. For further information, please contact MHLP at 604-685-3425 or toll free 1-888-685-6222.

chair must designate a review panel for a hearing. PART B – To Be Completed By Facility/Team

place within 14 days of request.

The Mental Health Review Board has a statutory obligation to schedule a hearing within 14 days or 28 days after receiving an
application. To facilitate scheduling, please provide the following information:

Discharged Patient's date of birth:

(dd / mm / yyyy)
Admission date:
(dd / mm / yyyy)

• A review panel gives involuntary psychiatric patient’s the right to fair and
Date first Form 4 signed: Date second Form 4 signed:
(dd / mm / yyyy) (dd / mm / yyyy)

Date most recent Date most recent

timely reviews of their loss of liberty.

Form 6 signed: Form 6 expires:
(dd / mm / yyyy) (dd / mm / yyyy)

Review Panel held.

treating psychiatrist name case presenter name*

Patient asks for Review Panel Decision given within 2 days.

case presenter’s availability for upcoming two-week period

Please provide the contact information of a person at your facility who can assist us in scheduling a review panel hearing for the patient:

Second Month-Renewal Hearing. Certificate renewed.

contact name

Please direct any inquiries to: 604-660-2325

contact phone number contact email

Certificate Issued Review Panel Hearing mist take Mental Health Review Board, #302 - 960 Quayside Drive, New Westminster BC V3M 6G2 | www.mentalhealthreviewboard.gov.bc.ca
HLTH 3507 Rev. 2018/03/06

The Review Panel consists of 3 or more of the following: place within 14 days of request.
Discharged

FORM 18 FORM 18.1

MENTAL HEALTH ACT MENTAL HEALTH ACT

Review Panel held.

[ Section 34.2, R.S.B.C. 1996, c. 288 ] [ Section 34.2, R.S.B.C. 1996, c. 288 ]

Patient asks for Review Panel Decision given within 2 days. NOTIFICATION TO NEAR RELATIVE NOTIFICATION TO NEAR RELATIVE
Start of 3 Month-Renewal Hearing. (REQUEST FOR A REVIEW PANEL HEARING) (ORDER FOR A REVIEW PANEL HEARING)

Certificate Issued
Certificate renewed.
Review Panel Hearing mist take This is to notify
first and last name of near relative (please print)
This is to notify
first and last name of near relative (please print)

place within 28 days of request. of , of ,

Discharged
address of near relative address of near relative

being a near relative of , who is an involuntary patient being a near relative of , who is an involuntary patient
first and last name of patient (please print) first and last name of patient (please print)

in or through , in or through ,

Public Lawyer Physician

name and address of designated facility phone number name and address of designated facility phone number

that on a request was made by the patient or by a person on behalf of the that on the chair of the review panel, having been satisfied from a review of
date (dd / mm / yyyy) date (dd / mm / yyyy)

Person patient for a hearing to determine whether the detention of the patient should continue.

If you wish to participate in the hearing or wish to provide information to the review panel, please contact the
the patient’s treatment record that there is a reasonable likelihood that the patient would be discharged
following a hearing, made an order for a hearing to determine whether the detention of the patient
should continue.

Patient asks for Review Panel

review panel office for information about the time, date and location of the hearing.

Review Panel held.

If you wish to participate in the hearing or wish to provide information to the review panel, please contact the
review panel office for information about the time, date and location of the hearing.

How The Panel Works Start of 6 Month-Renewal
Certificate Issued
Hearing.
Review Panel Hearing mist take
Decision given within 2 days.
Certificate renewed
place within 28 days of request. – signature of director date signed (dd / mm / yyyy) signature of review panel chair date signed (dd / mm / yyyy)

• The hearing is usually held at the designated facility (for ex. hospital) in Cannot be before 90 days from the name of director (please print) name of review panel chair (please print)

which the patient resides, if necessary it can be done over a end of the last review panel.
Discharged
How to contact the review panel office: How to contact the review panel office:

videoconference as well. Mental Health Review Board

302 - 960 Quayside Drive
New Westminster BC V3M 6G2
Tel: 604 660-2325
Mental Health Review Board
302 - 960 Quayside Drive
New Westminster BC V3M 6G2
Tel: 604 660-2325
Fax: 604 660-2403 Fax: 604 660-2403

• The review panel will make their decision based on evidence such as: Patient asks for Review Panel Review Panel held.
Hearing. Decision given within 2 days. HLTH 3518 Rev. 2012/05/30 HLTH 3518.1 Rev. 2012/05/30

Start of another 6 Month- Review Panel Hearing mist take Certificate renewed.
• Admission and renewal certificates.
Renewal Certificate Issued place within 28 days of request. –
• Specific notes made by the attending physician, including
Cannot be before 90 days from the Who Advocates on Behalf of the Patient?
end of the last review panel. Discharged
patient history, successful and unsuccessful treatment,
cooperation with treatment plans, and whether the patient is Under Form 7: Application For Review Panel Hearing states who is allowed to advocate
likely to comply with the treatment plan in the community for the patient during a review panel hearing.
if discharged. When is a Patient Eligible to Apply for Review Panel?
The patient may choose to:
• Current and relevant psychology, social work and nursing
The patient is eligible to apply for a review panel hearing after the initial admission on two • Attend the Review Panel Hearing without any representative
reports, doctors' progress notes/orders, response to
certificates and after each renewal of their certificate. (Ministry of Health, 2017) • Ask a family member, friend or near relative for representation
medications, and psychiatric assessments from the file. • Hire a lawyer in a private practice.
• Patient is initially certified by physician upon involuntary admission.
• The patient or their advocate may also give evidence and call witnesses • Request free legal representation from the Mental Health Law Program (MHLP). If
in support of his/her argument for discharge. the patient chooses this option, the MHLP will submit the request and will discuss
• In order for the patient to be considered involuntary, a second medical opinion is required. availability of an advocate at the hearing.
• Each party is then offered an opportunity to make closing arguments. Which needs to be taken place within the 48 hours of the first certification.
Nurses can also advocate for the patient by providing supported evidence and answering
• Once the second physician has deemed the patient to be involuntary, the patient is now any questions at the review panel. Nurses are also responsible in assisting the client with
• Decision must be made within 48 hours of the end of the hearing completing a Form 7 and providing patient teaching regarding the Review Panel
(Ministry of Health, 2017). certified for the second month. And eligible to apply for the review panel to change their
process.
status to voluntary.