Complete this form when a restricted patient has returned from S17 leave if requested by a Mental Health Casework team.
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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 team.
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 report to the relevant Mental Health Casework team as shown below.
|Last name of patient||Casework team||Email to|
|A to Gile||Team firstname.lastname@example.org|
|Gilf to Nicholl||Team email@example.com|
|Nicholm to Z||Team firstname.lastname@example.org|