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

(Quality and Safety Notifications - Guide to the Revised Forms)

Child Admission forms

QSN1: Admission of a child to an adult unit

QSN2: Discharge of a child from adult unit

QSN3: CAMHS Child admission and discharge data

QSN4: CAMHS Bed occupancy report

Adverse Events forms

QSN5: Death notification for a resident in an approved centre

QSN6: Death notification form for community mental health services

QSN7: Summary of incidents

QSN8: Serious Reportable Event

QSN9: Notification of Overcapacity

Regulated practices forms

QSN10: Notification of Seclusion >72 hours

QSN11: Notification of Seclusion 7 in 7 days

QSN12 - QSN15:  ECT, Mechanical Means of Bodily Restraint, Seclusion and Physical Restraint annual data returns template

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

   

 

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