The new Lunacy Act, 1889 : with index and schedules complete, arranged for the use of medical practitioners and others : being a reprint from the Journal of Mental Science / by T. Outterson Wood.

  • Wood, Thomas Outterson.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The new Lunacy Act, 1889 : with index and schedules complete, arranged for the use of medical practitioners and others : being a reprint from the Journal of Mental Science / by T. Outterson Wood. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    36/42 (page 36)
    Short Titles of Acts. (Section 93.) The Acts mentioned in the first column of the Second Schedule may be cited by the short titles in the second column of that schedule. Repeal. (Section 94.) The Acts mentioned in the Third Schedule to this Act are hereby repealed to the extent in the third column of that schedule specified without prejudice to anything done or suffered thereunder. THE FIKST SCHEDULE. Form 1.—Petition for an Order for reception of a Private Patient. In the matter of A.B. a person alleged to be of unsound mind. To His Honour the judge of the county court of [or To stipendiary magis- trate for or To a justice of the peace for .] The petition of CD. of [1] in the county of 1. I am [2] years of age. 2. I desire to obtain an order for the reception of A.B. as a lunatic [3] in the asylum [or hospital or house as the case may be] of situate at [4] 3. I last saw the said A.B. at on the [5] day of 4. I am the [6] of the said A.B. [or if the Petitioner is not connected with or related to the patient state as follows :] I am not related to or connected with the said A.B. The reasons why this petition is not presented by a relation or connection are as follows : [State them.] The circumstances under which this petition is presented by me are as follows : [State them.] 5. I am not related to or connected with either of the persons signing the certificates which accompany this petition as (where the petitioner is a man) husband, fat her, fat her-in- law, son, son-in-law, brother, brother-in-law, partner or assistant (or where the petitioner is a ivoman), wife, mother, mother-in-law, daughter, daughter-in-law, sister, sister-iii-law, partner or assistant. 6. I undertake to visit the said A.B. personally or by someone specially appointed by me at least once in every six months while under care and treatment under the order to be made on this petition. 7. A statement of particulars relating to the said A.B. accompanies this petition. If it is the fact add : 8. The said A.B. has been received in the asylum [or hospital or house as the case may be] under an urgency order dated the The petitioner therefore prays that an order may be made in accordance with the fore- going statement. [Signed] Dated full Christian and surname. [1] Pull postal address and rank, profession, or occupation. [2] At least twenty-one. [3] Or an idiot or person of unsound mind. [4] Insert a full description of the name and locality of the asylum, hospital, or licensed house, or the full name, address, and description or the person who is to take charge of the patient as a single patient. [5] Some day within 14 days before the date of the presentation of the petition. [6] Here state the connection or relationship with the patient. Form 2.— Statement of Particidars. Statement of particulars referred to in the annexed petition [or in the above or annexed order]. The following is a statement of particulars relating to the said A.B. [1] :— Name of patient, with Christian name at length. Sex and age. fMarried, single, or widowed. tKank, profession, or previous occupation (if any). tKeligious persuasion. Residence at or immediately previous to the date hereof. tWhether first attack. Age on first attack. When and where previously under care and treatment as a lunatic, idiot, or person of unsound mind. tDuration of existing attack. Supposed cause. Whether subject to epilepsy.