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 team.
MS Word Document, 82.5KB
This file may not be suitable for users of assistive technology. Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email email@example.com. Please tell us what format you need. It will help us if you say what assistive technology you use.
PDF, 834KB, 20 pages
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|