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HLTH 3512

Medical Report (Second Medical Opinion)

Form 12 is your answer to a patient's Form 11 request. You examine the patient and give your opinion on whether the treatment the director authorized is appropriate, with any recommendations. The director must then consider whether to change the treatment.

At a glance

Checked October 2026

Form number
HLTH 3512
Issued by
BC Ministry of Health
Where
British Columbia
Completed by
Physician giving the second medical opinion; director acknowledges receipt
Format
Fillable PDF
Language
English

What Form 12 is for

When an involuntary patient asks for a second medical opinion on Form 11, the physician who examines them reports on Form 12. Section 31 of BC’s Mental Health Act limits the question to the appropriateness of the treatment the director has authorized. Once the report arrives, the director must consider whether to change the treatment.

Who completes it

The physician giving the second opinion completes and signs the report. The director signs the office-use box to acknowledge receipt.

How to fill in the report

Addressee and examination

Name the designated facility whose director you are reporting to, the date you examined the patient, the patient’s name and the facility where they are a patient.

Your opinion

Give your opinion on whether the authorized treatment is appropriate and include any recommendations. Say what you reviewed, such as the chart, the current medications and the Form 5. Specific recommendations are easier for the director to act on than general remarks. Continue on the back if you need more space.

Your details

Sign, date and print your name, and add your address and phone number so the director can reach you with questions.

Common reasons it’s delayed

  • An opinion on whether the patient should be detained, which the form doesn’t ask for.
  • No recommendations, or recommendations too general to act on.
  • Missing contact details for the reporting physician.
  • The examination date left blank.

Submitting and who pays

Send the report to the director of the designated facility named at the top, who signs to acknowledge receipt. Form 11 warns a patient who names their own physician that there may be a cost depending on how far that physician travels.

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 3512 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.

Does the director have to follow the second opinion?

No. Section 31 requires the director to consider whether changes should be made to the authorized treatment and to authorize the changes they think should be made. The opinion informs that decision.

Does Form 12 decide whether the patient stays detained?

No. It covers the appropriateness of treatment only. Continued detention is renewed on Form 6 and reviewed by a review panel.

Who asks for the second opinion?

The involuntary patient, or a person on their behalf, on Form 11. They can name a physician or ask the director to appoint one.

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.