(1) The person in
charge of a mental health service must ensure that a medical record is kept in
respect of —
(a) each
person who is admitted by the mental health service; and
(b) each
person who is otherwise provided with treatment or care by the mental health
service.
(2) The medical record
must be in the approved form and must include the following information
—
(a) the
name, address and date of birth of the person;
(b) the
nature of any illness, or mental or physical disability, from which the person
suffers;
(c)
particulars of —
(i)
any treatment provided to the person by the mental health
service; and
(ii)
the authority for providing the treatment, including
details of any order made under this Act under which the treatment was
provided;
(d) if
the person dies at the mental health service — the date of death and, if
known, the cause of death;
(e) any
other information prescribed by the regulations for this subsection.