On Call Resources

See the Ontario Mental Health Act section for a complete guide on Mental Health Law in Ontario. Below are quick access links to filling out Forms.

Common

Form 1 (Psychiatric Assessment) + Form 42 (Notice to Patient)

Quick User Guide: How to Fill Out A Form 1

How to Fill a Form 1 & 42 in 5 minutes


Form 1

  • Detains patient for assessment only
  • Valid for 72 hours

Download Form 1


Form 42

  • Give original Form 42 to patient
  • Keep copy in chart and fax PPAO form

Download Form 42

Form 3 (Involuntary Admission) + Form 30 (Notice of Rights Advice)

Form 3

  • Involuntary admission for 14 days (REMEMBER: It is 14 days total including the day you sign the form, therefore, you add only 13 days, NOT 14 days)
  • Same criteria as Form 1 both Box A & B
  • Form 30 is given to patient as notice of certification
  • Rights advice must be notified
  • Different MD from Form 1 must sign
  • MD faxes PPAO form

Download Form 3


Form 30

  • Give original to patient after Form 3 or Form 4
  • Keep copy in chart and fax PPAO form

Download Form 30

Request for Rights Advice (PPAO)

Psychiatric Patient Advocate Office (PPAO) Form

  • Fax each time patient is placed on a Form 3 or Form 4
  • Rights Advisor will arrive to see patient and inform them of their legal rights

PPAO Form

Consent and Capacity

See main article: Consent and Capacity

All Forms

Form 2 (Order For Examination)

  • Does not authorize patient to be detained at the hospital, must complete a Form 1 to keep them in hospital!

Download Form 2 Form 2

Form 4 (Certificate of Renewal)

  • 1st Form 4 lasts one month, 2nd lasts two months, 3rd lasts three months
  • Rights advice must be notified
  • Give Form 30 each time plus patient can appeal
  • There is also a Form 4A (good for 3 months less 1 day)

Download Form 4

Form 5 (Change to Voluntary Status)

  • Completed to end a Form 3 or Form 4

Download Form 5

Form 9 (Order for Return)

  • Used for patients on Form 1 or Form 3 who go AWOL
  • Police will look for patient

Download Form 9

FAQ on Filling a Form 1 after a Form 9

Form 10 (Transfer of Patient)

  • Transfers patient on a Form 1 or Form 3 to another facility

Download Form 10

Form 12 (Financial Assessment)

  • Financial Capacity Assessment by MD

Download Form 12

Form 33 (Finding of Incapacity)

  • Patient is unable to understand AND appreciate situation
  • SDM will guide care for patient

Download Form 33

Form 47 (CTO Recall)

  • Issued when patient violates their CTO
  • Allows police to recall patient to hospital for assessment

Download Form 47

Driving

The Highway Traffic Act requires that physicians report every individual sixteen years of age or over to whom the physician has provided medical services (patients or otherwise) when physicians are of the opinion that the individual has a medical condition or functional impairment that may make it dangerous for him or her to operate a motor vehicle.Reports must include the name and address of the individual and the medical condition or functional impairment that affects the individual’s ability to drive.

In order for the Ministry of Transportation to apply the information to the correct driver, the date of birth should be indicated in the report. Reports should be sent to the Registrar of Motor Vehicles of the provincial Ministry of Transportation. If you decide that there is a duty to warn, the patient should be informed of your intent.

Mandatory Reporting

Residents are reminded that all circumstances of suspected child risk, abuse and neglect must be reported to appropriate child protection agencies at the time of assessment. If you are not sure whether reporting is necessary, you can call CAS and discuss the situation without using the patient’s name. If CAS advises that you must report, identifying information must be given to them.
  1. Child Abuse or Neglect
  2. Impaired Driving Ability
  3. Long-Term Care and Retirement Homes
  4. Sexual Abuse of a Patient
  5. Facility Operators: Duty to Report Incapacity, Incompetence and Sexual Abuse
  6. Terminating or Restricting Employment
  7. Births, Still-births and Deaths
  8. Communicable and Reportable Diseases
  9. Controlled Drugs and Substances
  10. Community Treatment Plans
  11. Gunshot Wounds
  12. Pilots or Air Traffic Controllers
  13. Railway Safety
  14. Maritime Safety
  15. Occupational Health and Safety
  16. Correctional Facilities
  17. Preferential Access to Health Care

Addictions

Gerstein Substance Use Crisis Team + Beds

  • 7 Short Term Residential Crisis Beds for up to 30 days is available through partnerships with University Health Network Ossington Withdrawal Management Centre (six beds for men) and Eva’s Satellite (1 bed for youth).
  • Individuals in crisis can access these services 24 hours/day through the crisis line at 416-929-5200 or can contact the team directly during business hours at 647-215-5386 (Daniel) or 647-637-2678 (Laura).

Detox Referral

  • Patients need to call Central Access at 1-866-366-9513 and complete a phone assessment to access a detox bed. If there are no detox beds available, the patient must continue to call Central Access every hour. There is no wait list for beds.

Drug and Alcohol Helpline

  • 1-800-565-8603

Referral Forms

Crisis and Support Lines

Housing

Emergency Shelters

CATCH Homeless Program

  • For homeless adults who are having trouble accessing medical services in the downtown area.
  • 416-864-5347

Streets to Homes Assessment and Referral Centre

  • 129 Peter Street (Mutual Contact Sheet)
  • If you are serving someone you learn or suspect is connected to either team, please use the Mutual Contact Sheet
  • These teams are within the circle of care for assessment, treatment and discharge planning
  • For assistance for individuals who may be living rough or on the street, please contact the Street Outreach Shift Leader, who is available 24/7 at 416-397-5182 or dial 311.
  • To refer to a shelter: 416-392-0090. Shelter Referral Access Point staff can assist by identifying where appropriate shelter beds are available.

Outreach Teams

Multi-Disciplinary Outreach Team (M-DOT)

  • Specialized team of providers from various organizations that delivers services to the most vulnerable individuals on the street and in shelters. The team helps their clients find housing, medical attention, income supports, or addictions services. (Mutual Contact Sheet)
  • During business hours (9am-5pm), contact the Program Manager, Mariruth Morton at 416-712-8221.
  • Psychiatrists may contact Dr. Richard Doan directly at 416-399-6317 Tuesdays/Thursdays or Dr. Deb Pink on Wednesdays at 647-239-3612 during business hours.
  • M-DOT can fax or deliver collateral information upon request.
  • After hours, messages can be left and will be returned the next morning (on weekends, calls will be returned the following Monday).
  • If immediate support is needed after hours or on weekends, ED staff can call the Streets to Homes Outreach Shift Leaders at 416-397-5182. The Streets to Homes Shift Leaders can send a team out (if available) to connect with the person. The Streets to Homes Shift Leaders will then communicate with MDOT on the next business day regarding any needed ongoing support.

Online Therapy

Cognitive Behavioural Therapy

Online Handouts and Therapy