This form, the Attending Physician Summary Template, is used when an issue (appeal or examination for Order of Committeeship) is under review at a hearing before the Mental Health Review Board. It is intended to simplify the attending physician's presentation at the hearing and to provide background information and health history on the patient under review at a hearing.
This form is applicable to the attending physicians providing services/treatment to the individual patient under examination in a hearing before the Board.
This form is processed by the Mental Health Review Board of the Department of Health, Seniors and Active Living, and a copy must be provided to the patient prior to the hearing.