Department of Health

Mental Health and Wellbeing Act 2022 forms

Forms to support the implementation of the Mental Health and Wellbeing Act 2022.

  • 11 August 2023
  • Duration: 0:49

The department has developed the following forms to support the implementation of the Mental Health and Wellbeing Act 2022 (the Act). .

Services can download and print forms from the website or order hard copies of selected forms from Rolls AustraliaExternal Link .

The MHWA125 notice of death form is available on the Chief Psychiatrist’s website.

Assessment Order forms

Temporary Treatment Order and Treatment Order forms

Operational forms (leave, transfer etc)

Restrictive interventions

Guidelines regarding the use of chemical restraint are published by the Office of the Chief Psychiatrist.

Security and forensic patients

Cross border

Admissions, registration and separations

Advance statement of preferences

Forms for making or revoking an advance statement of preferences are on the advance statement of preferences page.

Nominated support persons

Forms for nominating a nominated support person or revoking a nomination can be found on the nominated support persons page.

Access to archived mental health information

Access to archived mental health information held by the Department of Health can be requested through Freedom of Information or via email at foi@health.vic.gov.au

Reviewed 18 February 2024

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