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Fillable Admission Certificate (Form 1) - Alberta Health Services

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Admission Certificate (Form 1) Mental Health Act Section 2 I (print name of physician) certify that I personally examined of Note: Both (a) and (b) must be completed. (address) (print name of person examined) on (home address) at Note: All three criteria must be met. of (date) at (time) (place of examination) In my opinion the person examined is (a) suffering from mental disorder, (b) likely to...
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