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MENTAL HEALTH ACT, 2012 TWELFTH SCHEDULE Article 24(7) and (8) Mental Health Act This certificate shall be forwarded to the Commissioner within 24 hours. RC LMC Ref No: APPLICATION FOR REVOCATION

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How to fill out twelfth schedule - health:

1. Start by gathering all necessary information and documentation related to your health. This may include medical reports, prescriptions, and information about any chronic conditions or allergies.
2. Fill out your personal details accurately, including your name, age, gender, and contact information. Make sure to provide any additional details that may be required, such as your blood type or emergency contact information.
3. Provide information about your medical history, including any past surgeries, illnesses, or hospitalizations. Be sure to include the dates and details of each event.
4. List any medications you are currently taking, including the name, dosage, and frequency. Mention if you have any allergies or adverse reactions to specific medications.
5. Provide details about your current health status. This may include information about any ongoing treatment, therapy, or rehabilitation programs you are undergoing.
6. Fill out the section related to preventive healthcare, mentioning any vaccinations or screenings you have had recently or plan to have in the future.
7. If applicable, provide information about your mental health, including any diagnosed conditions or treatments you are receiving.
8. Lastly, review the filled-out twelfth schedule - health form to ensure all information is accurate and complete before submitting it.

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The twelfth schedule - health is a form used to report health information related to a specific program or initiative.

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