What Mental Health Act Form 1 asks for — and how to autofill 014-6427-41 with my-id.ca
Apply for psychiatric assessment without retyping patient and physician details
Physicians applying under the Mental Health Act for a psychiatric assessment repeat the patient's name, address, and their own practice identifiers on Form 1. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Mental health services — ontario.ca
- Form (Central Forms Repository): Form 1 — Application by Physician for Psychiatric Assessment — 014-6427-41
What this form is about
Form 014-6427-41 is Form 1 — Application by Physician for Psychiatric Assessment under the Mental Health Act, used when a physician believes a person should be assessed at a psychiatric facility.
Before you start: what to gather
- Patient full legal name, date of birth, and last known address.
- Physician name, practice address, and contact details.
- Psychiatric facility to which assessment is requested.
- Clinical grounds supporting the application — completed by the physician.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient and physician names, addresses, and facility details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- Who can complete Form 1?
- A physician who has examined the person within the past seven days — confirm current rules on ontario.ca.
- How does my-id.ca help?
- It autofills patient and physician names, addresses, and facility identifiers.
- What happens after Form 1 is issued?
- The person may be taken to a psychiatric facility for assessment — follow Mental Health Act procedures on ontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.