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HLTH 3511

Request for Second Medical Opinion

Form 11 reaches clinicians in two ways: a patient on your unit or on leave in your care asks for one, or you are the physician they name. The request concerns the appropriateness of the treatment the director has authorized. Detention itself is reviewed through a review panel.

At a glance

Checked October 2026

Form number
HLTH 3511
Issued by
BC Ministry of Health
Where
British Columbia
Completed by
Involuntary patient, or a person on their behalf, with a witness
Format
Fillable PDF
Language
English

What Form 11 is for

Section 31 of BC’s Mental Health Act lets an involuntary patient, or a person on their behalf, ask for a second medical opinion on the appropriateness of the treatment the director has authorized. When the opinion arrives, the director must consider whether to change the treatment and authorize the changes they think should be made.

The physician’s opinion comes back on Form 12. A request to challenge detention itself goes to a review panel on Form 7.

Who completes it

The patient, or someone applying for them, completes and signs the whole form, and a witness signs and prints their name. A person applying on the patient’s behalf adds their address and phone number. Clinicians don’t complete Form 11, but they are often asked to help a patient find it, witness it, or answer questions about it.

How the request is filled in

Whose treatment

The requester ticks one box: an opinion on their own treatment, or on the treatment of a named patient at a named designated facility. The second box is for a family member, friend or advocate.

Choosing the physician

The requester completes either option 1 or option 2. Under option 1 they name a specific physician and their address if known, plus a second choice in case the first isn’t available, and confirm they understand there may be a cost depending on how far the physician travels. Under option 2 they ask the director to appoint a physician.

Signature and witness

The form needs the requester’s signature, the date, and a witness’s signature and printed name.

Common reasons it’s delayed

  • Both whose-treatment boxes ticked, or neither.
  • Options 1 and 2 both completed.
  • A named physician with no way to reach them and no second choice.
  • No witness, or no contact details for someone applying on the patient’s behalf.
  • A request already used up in the current detention period.

Submitting and who pays

The request goes to the director of the designated facility, who arranges the examination. When the patient names a physician, the form warns that travel may cost the patient. The physician reports to the director on Form 12.

Get the official form

Download the current version from BC Ministry of Health each time. Forms change without notice, and an old edition can be returned.

Official page ↗ PDF ↗

Medulla Forms

Fill HLTH 3511 from the visit and the chart.

Upload the fillable PDF to your practice's forms once. Medulla fills it from the visit and the chart open in your EMR, leaves blank anything the record doesn't support, and opens the form for your review. When it's done, save it to the patient's chart in one click.

Free 1-month trial. No credit card required.

Sources for this guide

Questions

Questions we hear a lot.

How often can a patient request a second medical opinion?

Once in each detention period under section 31: once in the first month or a one-month renewal, once in a three-month renewal, and once in each six-month renewal.

Can a patient on leave request a second opinion?

Yes. Section 31 covers patients detained in a designated facility and those released on leave or transferred to an approved home.

Does the patient have to pay for the second opinion?

The form warns there may be a cost to the patient depending on how far the physician they name has to travel. It says nothing about a cost when the director appoints the physician.

Is a second medical opinion the same as a review panel hearing?

No. A second opinion is about whether the authorized treatment is appropriate. A review panel hearing, requested on Form 7, reviews whether detention should continue.

Is patient information secure?

Yes. Medulla has a SOC 2 Type II report from an independent auditor, is HIPAA, PIPEDA, and PHIPA compliant, and is built and hosted in Canada, so patient data stays in the country and never gets pasted into consumer AI tools. Everything is encrypted in transit and at rest. See how we protect patient data.

More questions? Browse help.medulla.ca.