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Luton Borough Council

  1. Home
  2. Health and social care
  3. Safeguarding
  4. Safeguarding adults
  5. Mental capacity and deprivation of liberty

Deprivation of Liberty Safeguards for professionals

On this page you’ll find Deprivation of Liberty Safeguard resources including ADASS/DoH DoLS forms adapted for the Eastern Region.

Downloads
Form-1-Standard-and-Urgent-Request-V3.docx document type icon 69.5 kB
Form-2-Further-Authorisation-Request-V3.docx document type icon 91.1 kB
Case Number document type icon 44.5 kB
Deprivation of liberty safeguards form 3a best interest assessment – no deprivation document type icon 117.9 kB
Case Number document type icon 38.3 kB
Deprivation of liberty safeguards form 5 standard authorisation granted document type icon 213.4 kB
Deprivation of liberty safeguards form 6 standard authorisation not granted document type icon 92.6 kB
Deprivation of liberty safeguards form 7 suspension of standard authorisation document type icon 108.5 kB
Deprivation of liberty safeguards form 8 termination of appointment as representative document type icon 92.6 kB
Deprivation of liberty safeguards form 9 standard authorisation ceased document type icon 120.5 kB
Microsoft Word - Form-10-Review-Request-Final document type icon 53.2 kB
Deprivation of liberty safeguards form 11 IMCA referral document type icon 100.8 kB
Deprivation of liberty safeguards form 12 notification of death whilst deprived of liberty document type icon 131.5 kB
Form-13-Record of Equivalent Assessment.docx document type icon 26.3 kB

 

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