Mental Health Care Act, 2002 (Act No. 17 of 2002)RegulationsRegulations for Licensing Community Mental Health Day Care and Residential Care Facilities for People with Mental Illness and or Severe or Profound Intellectual Disability, 2025 - effective 20 December 202617. User health records |
| (1) | The facility must open a file for every user for official purposes only, which include: |
| (a) | name and surname; |
| (b) | age and gender; |
| (c) | recent photo; |
| (d) | copy of identity document; |
| (e) | physical address; |
| (f) | next of kin details; |
| (g) | medical history and diagnosis; |
| (h) | current treatment intervention; |
| (i) | discharge or referral summary from the referring hospital or other facility; and |
| (j) | periodic reviews and reports in terms of sections 30 and 37 of the Act where applicable. |
| (2) | All records must be stored in a locked and secured room within the facility where necessary. |
| (3) | All documents and records relating to the governance of the facility must be kept in terms of National Archives and Record Service Act, 1996 (Act No. 43 of 1996). |