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Forms - Hindi

प्ररूप - क (Form A) - PDF

Patients or nominated representatives have to submit this form if they want copies of their basic medical records.

प्ररूप – ग (Form C) - PDF

Patients who want to get admitted as "independent patients" should apply with this form.

प्ररूप – घ (FORM D) - PDF

If a minor needs admission, the nominated representative should apply using this form.

प्ररूप- ङ (FORM E) - PDF

When a patient requires "admission with high support needs", the nominated representative should apply using this form.

प्ररूप – च (FORM F) - PDF

When a patient requires continuous admission with high support needs, the nominated representative should apply using this form.

प्ररूप – छ (Form G) - PDF

Independent patients apply for discharge using this form.

प्ररूप – ज (FORM H) - PDF

Form using which nominated representative applies for the discharge of a minor.

प्ररूप – झ (Form I) - PDF

If an inpatient wants leave of absence, the nominated representative should apply using this form.

प्ररूप- ञ (FORM J) - PDF

Form to send intimation to the local police station when a prisoner with mental illness has an unauthorized absence (without leave or discharge) from a mental health establishment.

प्ररूप - क (Form A) - Word

Patients or nominated representatives have to submit this form if they want copies of their basic medical records.

प्ररूप – ग (Form C) - Word

Patients who want to get admitted as "independent patients" should apply with this form.

प्ररूप – घ (FORM D) - Word

If a minor needs admission, the nominated representative should apply using this form.

प्ररूप- ङ (Form E) - Word

When a patient requires "admission with high support needs", the nominated representative should apply using this form.

प्ररूप – च (FORM F) - Word

When a patient requires continuous admission with high support needs, the nominated representative should apply using this form.

प्ररूप – छ (Form G) - Word

Independent patients apply for discharge using this form.

प्ररूप – ज (FORM H) - Word

Form using which nominated representative applies for the discharge of a minor.

प्ररूप – झ (Form I) - Word

If an inpatient wants leave of absence, the nominated representative should apply using this form.

प्ररूप- ञ (FORM J) - Word

Form to send intimation to the local police station when a prisoner with mental illness has an unauthorized absence (without leave or discharge) from a mental health establishment.


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