Form

Apply for trial leave or full transfer to another hospital for restricted patients

Complete this form when a restricted patient needs to be transferred to another secure hospital.

Applies to England and Wales

Documents

Summary of guidance on making applications for trial leave or transfer to another hospital

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 web.comments@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Guidance for medical professionals dealing with restricted patient hospital transfers

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 web.comments@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Request trial leave for restricted patients

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 web.comments@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Request Bulk Transfer for Restricted Patients

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 web.comments@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

This form should be filled in by the clinician responsible for the restricted patient’s care.

Check the attached guidance if you need more information.

Email the completed document to: MHCSMailbox@justice.gov.uk

Published 27 February 2011
Last updated 6 July 2021 + show all updates
  1. Added 'Summary of guidance on making applications for trial leave or transfer to another hospital'

  2. Attachment update: Request full s19 transfer for restricted patients.

  3. Add new forms: Request full transfer for restricted patients Request trial leave for restricted patients

  4. updated email address for completed submissions

  5. Updated instructions for sending completed forms

  6. Updated form and guidance

  7. First published.