Mental Health Commission

Our Values: Quality, Empowerment, Recovery, Confidentiality, Respect & Dignity, Accountability & Integrity

Learn more about the Mental Health Commission

MHC Forms

We have issued various forms under provisions in the Mental Health Act 2001 and associated rules and codes of practice. They include quality and safety notifications forms, statutory forms and clinical practice forms. Links to all forms can be found below.

Quality and Safety Notification requirements for approved centres and other mental health services are outlined in the Mental Health Commission - Guidance for Quality and Safety Notifications document.

Data dictionaries for data collections derived from quality and safety notifications are provided in the MHC's national data collection data dictionaries.

Quality and Safety Notification Forms

Child Notification Forms
Child Unit Bed Occupancy template
Death Notification Form
ECT, Mechanical Means of Bodily Restraint, Seclusion and Physical Restraint annual data returns template
Form 16: Electroconvulsive Therapy Involuntary Patient (Adult) – Unable to Consent
MHC Summary Incident Report Template
Rule 6.3 Notification to the Inspector of Mental Health Services of a decision to continue to seclude a patient for a total period exceeding 72 hours
Rule 6.4 Notification to the Inspector of Mental Health Services of a patient who has seven or more seclusion orders over the period of seven consecutive days
 Serious Reportable Event Notification

Statutory Forms, Clinical Practice Forms and Patient Notification

Statutory Forms (1 - 18)
Forms under sections 14(2), 23(1) 23(2) and 23(3) of Mental Health Act 2001
Patient Notification of The Making of an Admission Order or a Certificate and Renewal Order Mental Health Acts 2001 To 2018 Section 16(2) (As Amended)



Contact Details

Waterloo Exchange, Waterloo Road, Dublin 4

Ph: 353(1) 636 2400

Fax: 353(1) 636 2440

Eircode: D04 E5W7

GPS coordinates: 53°19'58.6"N 6°14'36.9"W