Victorian Numbered Regulations

SEVERE SUBSTANCE DEPENDENCE TREATMENT REGULATIONS 2011 (SR NO 5 OF 2011) - SCHEDULE 4

SCHEDULE 4

Sch. 4

Regulation 9

Severe Substance Dependence Treatment Act 2010
Section 20(1)

Severe Substance Dependence Treatment Regulations 2011

DETENTION AND TREATMENT ORDER

IN THE MAGISTRATES' COURT

OF VICTORIA AT [ venue ]             Court reference:

To: [ name ]

Date of birth:     Gender:

Address:

The Magistrates' Court orders that you be detained and treated at [ name of treatment centre ] [ address of treatment centre ] for a period of 14 days from the date of your admission to the treatment centre.

*The Court authorises [ name of person authorised to provide transport to the treatment centre ] to take you to the abovementioned treatment centre.

TRANSPORT TO TREATMENT CENTRE

Pursuant to section 20(4) of the Severe Substance Dependence Treatment Act 2010 , this Order authorises a member of the police force, an ambulance paramedic, a non-emergency patient transport provider or anyone else specified in this order to take you to the abovementioned treatment centre.

Magistrate: [ signature ]             Date:

*Delete if not applicable

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