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Form 46 (3762-41)

Notice to Person of Issuance or Renewal of Community Treatment Order

Avis de prise ou de renouvellement d'une ordonnance de traitement en milieu communautaire

Every time you sign a Form 45, the Act requires you to give the person a Form 46. It is short, but it is the person's written notice that the order exists, when it ends, and how to challenge it, so a missing or wrong date can undermine an otherwise sound CTO.

At a glance

Checked October 2026

Form number
Form 46 (3762-41)
Issued by
Ontario Ministry of Health
Where
Ontario
Completed by
Physician who issued or renewed the community treatment order
Format
Fillable PDF
Language
English and French (bilingual form)

What Form 46 is for

Form 46 tells a person, in writing, that they are subject to a community treatment order, the date it was signed and the date it expires. It also tells them they can challenge the order at the Consent and Capacity Board and can retain and instruct a lawyer at any time after it is issued or renewed.

People often mix it up with Form 49, the notice of intention given before the order. Form 46 comes after the signature on Form 45, and you give one with every renewal as well as with the first order.

Who completes it

The physician who issued or renewed the CTO completes, dates and signs Form 46, and names the psychiatric facility if there is one. The person doesn’t complete any part of it. The notice is addressed to the person by name and home address.

How to fill in the notice

TO and of

Enter the person’s full name and home address as they appear on Form 45. A different spelling or an old address makes it harder to show the person received notice of this order.

Dates of the order

Enter the date the Form 45 was signed and its expiry date, copied from Part 3 of that form. The two forms must agree. An order lasts no more than six months, so an expiry date further out than that is an error.

Signature and facility

Date the notice, sign it, print your name, and add the psychiatric facility if the order was made through one. Attach a blank Form 48, because the notice tells the person it is attached.

Common reasons it causes problems

  • Not given at all, or given days after the Form 45 was signed.
  • Signing or expiry dates that don’t match the Form 45.
  • No Form 48 attached, although the notice says one is.
  • An old Form 46 reused for a renewal instead of a new notice.

Submitting and who pays

Form 46 isn’t sent to the ministry or a payer. Give it to the person, keep a copy with the Form 45 in the record, and note how and when it was delivered. If the person applies for a hearing, the Consent and Capacity Board handles the application.

Get the official form

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

Official page ↗ PDF ↗ Version française ↗

Medulla Forms

Fill Form 46 (3762-41) 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.

When do I give the person a Form 46?

Immediately after you sign the Form 45, whether it is a first order or a renewal. The notes on Form 45 list giving the Form 46 as one of the actions the signing physician must take straight away.

Is Form 46 the same as Form 49?

No. Form 49 is given before the order, to say you are considering issuing or renewing a CTO and that a rights adviser will contact the person. Form 46 is given after the order is signed and explains the right to a hearing.

How does the person apply for a hearing?

By completing a Form 48 and sending it to the Consent and Capacity Board. The notice says Form 48 is attached, so give the person a blank Form 48 with it.

Can the person apply for a hearing more than once?

Yes. The notes on Form 46 say an application can be made each time a community treatment order is issued or renewed.

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.