Forms
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Care Consent Act
Card to complete once you have done an advance directive (PDF, 58 KB)
Planning for your Future Healthcare Choices: Advance Directives Notes and Form for Completing an Advance Directive (PDF, 370 KB)
Resuscitation and Care form (PDF, 35 KB)
Form 1 (CCA) - Certificate of Legal Consultation (PDF, 23 KB)
Form 2 (CCA) - Certificate of Need for Financial Protection (PDF, 46 KB)
Form 3 (CCA) - Cancellation of Certificate of Need for Financial Protection (PDF, 38 KB)
Form 4 (CCA) - Statement by a Close Friend before they are Chosen as a Substitute Decision-Maker (PDF, 33 KB)
Form 5 (CCA) - Last Resort Substitute Consent by Care Providers (PDF, 71 KB)
Form 6 (CCA) - Application to the Capability and Consent Board for Matters under the Care Consent Act (PDF, 59 KB)
Mental Health Act
Form 1 - Application for Order for Involuntary Examination (PDF, 53 KB)
Form 2 - Order to Apprehend (PDF, 53 KB)
Form 3 - Statement of Peace Officer on Apprehension (PDF, 53 KB)
Form 4 - Recommendation for Involuntary Psychiatric Assessment (Physician) (PDF, 67 KB)
Form 5 - Recommendation for Involuntary Psychiatric Assessment (Nurse) (PDF, 67 KB)
Form 6 - Patient's Right to be Informed (PDF, 41 KB)
Form 7 - Certificate of Involuntary Admission (PDF, 66 KB)
Form 8 - Waiver of Right to an Automatic Hearing (PDF, 55 KB)
Form 9 - Application to the Capability and Consent Board for Matters under the Mental Health Act (PDF, 52 KB)
Form 10 - Authorization for Specified Treatment (PDF, 52 KB)
Form 11 - Certificate of Renewal of Involuntary Admission (PDF, 67 KB)
Form 12 - Certificate of Change of Status (PDF, 52 KB)
Form 13 - Notice of Intention to Transfer an Involuntary Patient (Yukon Resident) (PDF, 55 KB)
Form 14 - Review of Proposed Patient Transfer (PDF, 55 KB)
Form 15 - Application for Transfer of a Non-Resident Involuntary Patient (PDF, 40 KB)
Form 16 - Temporary Release of Involuntary Patient (PDF, 38 KB)
Form 17 - Certificate of Return (PDF, 38 KB)
Form 18 - Application to Withhold Clinical Record (PDF, 53 KB)
Form 19 - Request for Correction of the Clinical Record (PDF, 36 KB)
Form 20 - Statement of Disagreement with a Clinical Record (PDF, 36 KB)
Form 21 - Consent of Disclosure, Transmittal or Examination of a Patient Record (PDF, 36 KB)
Adult Protection and Decision-Making Act
Representation Agreement form (PDF, 44 KB)
Supported Decision-Making Agreement form (PDF, 41 KB)