IECOURTSProbate Forms

Official form guide

Form 84A.7 Notice Of Application For Order Approving Performance Of Psycho-Surgery Or Administration Of Electro-Convulsive Therapy

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

Courts Service of Ireland - Form 84A.7 Notice Of Application For Order Approving Performance Of Psycho-Surgery Or Administration Of Electro-Convulsive Therapy

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.

The form captures information about the patient's condition, the proposed treatment, medical justifications, and why this specific procedure is necessary.

Risk Radar

Scan points
  • 1Using an outdated version of the form is the most common mistake that leads to application rejection.
  • 2Incomplete medical justification may lead to court rejection
  • 3Missing patient information can delay the approval process
  • 4Incorrect procedure details may result in inappropriate authorization
  • 5Insufficient evidence of necessity could prevent approval

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

  • Filing date: 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.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form specifically for psycho-surgery or electro-convulsive therapy applications
  • Only applies when seeking court approval for these specific procedures
  • Not for routine medical treatments or other forms of therapy
  • Required before performing these procedures, not after
  • Must be completed by qualified medical professionals with proper authority

Form selector

Use this form or another form?

Standard medical consent

For routine treatments without court approval

✓ Check if treatment requires special authorization

Form 10 (Medical Treatment)

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

Form 14 (Notice of Appeal)

Emergency treatment application

For urgent procedures requiring immediate court approval

✓ Determine if emergency provisions apply to your situation

Form 84A.8 (Emergency Application)

Deadline or filing window

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.

Before you submit

  1. 1All sections of the form are completed
  2. 2Patient information is accurate and complete
  3. 3Medical justification documentation is attached
  4. 4Procedure details are clearly specified
  5. 5Consent documentation is included where applicable
  6. 6Court fees are paid if required
  7. 7Form is signed by authorized medical personnel
  8. 8Copy is retained for records
  9. 9Form version is current
  10. 10All supporting evidence is included

How to file this form

  1. 1Obtain the latest version of Form 84A.7 from the Courts Service website
  2. 2Complete all sections with accurate patient and procedure information
  3. 3Gather all supporting medical documentation and evidence
  4. 4Submit the completed form to the appropriate court office
  5. 5Pay any required court fees
  6. 6Keep a copy of the submitted form for your records
  7. 7Wait for court notification of the decision

Known limitations

  1. 1This form only applies to psycho-surgery and electro-convulsive therapy
  2. 2Court approval doesn't guarantee the procedure will be performed
  3. 3The court may impose conditions on the approval
  4. 4The form doesn't address ongoing treatment monitoring requirements
  5. 5Separate applications may be needed for different treatment phases

Field map

Compact field-by-field guide

6 fields

Proceedings

3 items

Title of Proceedings

The names of the parties exactly as they appear on the originating document.

Requiredtext
Record Number

The court record number for the case, if one has been assigned.

Requiredtext
Court and Office

The court and the office where the document is being filed.

Requiredtext

Substance

2 items

Relief or Information Sought

What you are asking the court to do, or the information the form requires.

Requiredtext
Grounds and Exhibits

The facts relied on and any documents exhibited with the filing.

text

Execution

1 items

Signature, Jurat or Service Details

Signed, sworn or certified as the form requires, with proof of service where needed.

Requiredsignature
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Current form status
COURTS

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.

What changed or needs a fresh check

  • Verify you're using the latest version of Form 84A.7
  • Check for any recent changes in medical documentation requirements
  • Confirm court fee amounts haven't changed
  • Ensure all referenced sections are current
  • Validate that contact information for the Courts Service is up-to-date

Quick Facts

Medical professionals or healthcare institutions seeking to perform psycho-surgery or electro-convulsive therapy need to submit this form to the Courts Service of Ireland.
The form captures information about the patient's condition, the proposed treatment, medical justifications, and why this specific procedure is necessary.
This form must be submitted before performing any psycho-surgery or electro-convulsive therapy, as court approval is a prerequisite for these procedures.
The form should be submitted to the appropriate court office of the Courts Service of Ireland, either in person or by mail. Online submission may be available through the Courts Service portal.
Submitting correctly ensures the court has all necessary information to make an informed decision about these serious medical interventions, preventing potential legal challenges to the procedures.
Complete all sections of the form with accurate information about the patient and proposed treatment. Attach supporting medical documentation and evidence justifying the need for these specific procedures. Submit the completed form to the appropriate court office, keeping a copy for your records.

Form Details

Revision date
18/10/25

Downloads & source

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Sources

  • SRCForm name and number confirmed from provided information
  • SRCIssuing agency confirmed as Courts Service of Ireland
  • SRCPurpose inferred from form name and medical context
  • SRCSubmission method based on standard Irish court procedures
  • SRCCommon risks based on typical court application processes
  • SRCNot confirmed in official source: specific submission deadlines
  • SRCNot confirmed in official source: current court fees
  • SRCNot confirmed in official source: exact processing times
  • SRCNot confirmed in official source: recent form updates

Common confusion points

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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