Guidance Notes - Please Read Carefully General Information Please complete this application It is an offence to knowingly provide false electronically and submit by A copy or misleading information [Section of the application is available on our 64(8)(b) Mental Health Act 2001]. website at . Completed applications, including Alternatively, you can complete this supporting documentation, should be application in BLOCK CAPITALS using a returned to Standards and Quality ballpoint pen in BLACK INK. Assurance Division, Mental Health Incomplete applications will be returned Commission, Waterloo Exchange, to the sender for completion and shall not Waterloo Road, Dublin 4. . be processed until such time as all the Where the application is submitted requested information is received. This electronically, a scanned copy of the will cause unnecessary delays in the signed declaration will only be accepted if registration process. there is a confirmation of intention in the All sections and sub-sections of the associated email. The email must be sent application must be completed, unless from the signatory. otherwise indicated. Specific Information This section of the application asks for general This section asks for details on the staffing of details about the facility to which this the facility. application refers. This section details required supporting This section is only to be completed where the documents. person applying to be the Registered Proprietor is the Health Service Executive and asks for information about the proposed This section requires the person applying to registered proprietor nominee. be the Registered Proprietor, or nominee, to declare that the information he/she has provided is true and accurate before signing This section is only to be completed where the the application. A person who gives false or person applying to be the Registered misleading information shall be guilty of an Proprietor is private or independent from the offence. Health Service Executive and asks for information about the person applying to be the registered proprietor and the organisation Appendix 1 is to be completed when the running the facility. facility to which this application refers is not currently entered in the Register of Approved Centres. You must explain how you intend to This section asks for information about the comply with the Mental Health Act 2001 premises that your service operates in. (Approved Centres) Regulations 2006.
Guidance Notes - Please Read Carefully General Information Please complete this application electronically and submit by A copy of the application is available on our website at . Alternatively, you can complete this application in BLOCK CAPITALS using a ballpoint pen in BLACK INK. Incomplete applications will be returned to the sender for completion and shall not be processed until such time as all the requested information is received. This will cause unnecessary delays in the registration process. All sections and sub-sections of the application must be completed, unless otherwise indicated. It is an offence to knowingly provide false or misleading information [Section 64(8)(b) Mental Health Act 2001]. Completed applications, including supporting documentation, should be returned to Standards and Quality Assurance Division, Mental Health Commission, Waterloo Exchange, Waterloo Road, Dublin 4. . Where the application is submitted electronically, a scanned copy of the signed declaration will only be accepted if there is a confirmation of intention in the associated email. The email must be sent from the signatory. Specific Information This section of the application asks for general details about the facility to which this application refers. This section is only to be completed where the person applying to be the Registered Proprietor is the Health Service Executive and asks for information about the proposed registered proprietor nominee. This section is only to be completed where the person applying to be the Registered Proprietor is private or independent from the Health Service Executive and asks for information about the person applying to be the registered proprietor and the organisation running the facility. This section asks for information about the premises that your service operates in. This section asks for details on the staffing of the facility. This section details required supporting documents. This section requires the person applying to be the Registered Proprietor, or nominee, to declare that the information he/she has provided is true and accurate before signing the application. A person who gives false or misleading information shall be guilty of an offence. Appendix 1 is to be completed when the facility to which this application refers is not currently entered in the Register of Approved Centres. You must explain how you intend to comply with the Mental Health Act 2001 (Approved Centres) Regulations 2006.