Report on completed leave by restricted patients

Complete this form when a restricted patient has returned from S17 leave if requested by a Mental Health Casework Section.


Completed leave report for restricted patients

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This report should be filled in by the clinician responsible for the care of the restricted patient. You can also use it to report changes in the patient’s circumstances.

You’ll only need to complete the form if asked by the patient’s Mental Health Casework Section.

The Secretary of State must have an up-to-date report on all previous leave before considering any new requests for leave.

Check the attached guidance for more information.

Email the completed document to:

Published 27 February 2011
Last updated 2 August 2019 + show all updates
  1. updated email address for completed submissions
  2. Updated instructions for sending completed forms
  3. Updated form and guidance
  4. First published.