Official form guide
This form is used to apply for a court order that approves the performance of psycho-surgery or administration of electro-convulsive therapy. It should be used when these specific medical procedures need legal authorization before they can be performed on a patient.
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Form Overview
This form is used to apply for a court order that approves the performance of psycho-surgery or administration of electro-convulsive therapy. It should be used when these specific medical procedures need legal authorization before they can be performed on a patient.
Plain English
If a doctor wants to perform psycho-surgery or electro-convulsive therapy on someone in Ireland, they need permission from the courts first. This form is how they ask the court for that permission. The court will review the case carefully before deciding whether to approve these serious medical procedures.
Submission Date
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Standard medical consent
For routine treatments without court approval
✓ Check if treatment requires special authorization
Application for guardianship
When patient lacks capacity to make decisions
✓ Confirm if court intervention is needed beyond treatment approval
Form 59 (Application for Guardianship)
Appeal of treatment decision
If court denies treatment application
✓ Verify if appeal is appropriate before proceeding
Emergency treatment application
For urgent procedures requiring immediate court approval
✓ Determine if emergency provisions apply to your situation
Form 84A.8 (Emergency Application)
There is no standard deadline, but the form must be submitted well in advance of when the procedure is scheduled to allow sufficient time for court review and approval.
Field map
Proceedings
3 items
The names of the parties exactly as they appear on the originating document.
The court record number for the case, if one has been assigned.
The court and the office where the document is being filed.
Substance
2 items
What you are asking the court to do, or the information the form requires.
The facts relied on and any documents exhibited with the filing.
Execution
1 items
Signed, sworn or certified as the form requires, with proof of service where needed.
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Fillable formOpen in Editor->This form is currently in use and should be the most recent version available from the Courts Service of Ireland. No recent changes have been confirmed in official sources.
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Confusing this form with general medical consent forms
Not realizing this form requires court approval, not just medical authorization
Uncertainty about which court office to submit to
Misunderstanding the difference between emergency and standard applications
Confusion about what constitutes "psycho-surgery" versus other treatments
Unclear about required supporting documentation
Not knowing if patient consent is already sufficient or if court approval is additionally required
Confusion about whether the form needs to be submitted by the treating doctor or institution
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