This report is prepared and assessed by the associate consultant level psychiatrists and above.

The report can be submitted via iFAMS (online) or Form 61 (Hardcopy) to Family Court. Details from OPG website.

​*Additional clinic fees apply ​

This report is required when a donee needs to activate their powers under a Lasting Power of Attorney because the donor (patient) has lost mental capacity. This requires a medical assessment to confirm the donor's mental incapacity at Specialist Outpatient Clinic.

Necessary forms for completion need to be furnished by the requestor (LPA Activation Form with LPA registration number filled in by the donee)

*Additional clinic fees apply

Patient to complete Form A

Copy of Patient’s NRIC or FIN

Patient’s parents or legal guardian to complete Form A.

Copy of Parent’s NRIC/birth certificate.

Copy of parent/legal guardian’s NRIC or Fin

Legal documents indicating appointment of the applicant as patient’s legal guardian (if applicable)

Requests for deceased patients:

With legal representative (an individual appointed by the Singapore Court)

Designated executor or administrator to complete Form A & Form B

Copy of deceased Patient’s death certificate.

Designated executor’s/administrator’s NRIC or FIN.

Court Order indicating appointment of the applicant as deceased patient’s executor/administrator.

Form A

Form B

Requests for deceased patients:

With Nearest-Next-of Kin(s)-no legal representative

Deceased patient’s spouse to complete Form A.

All adult children or Nearest-Next-of Kin(s) to complete Form B.

Copy of deceased patient’s death certificate.

Copy of patient’s marriage certificate.

Copy of all adult children’s birth certificates.

Copy of spouse’s NRIC or FIN.

Form A

Form B

Requests for patients who lack mental capacity/unable to provide consent:

With legal representative (an individual appointed by the Singapore Court)

Appointed Donee (s) or Court Appointed Deputy to complete Form A & B.

Copy of both patient's and legal representative’s NRIC or FIN.

Court Order indicating appointment of the applicant as patient’s deputy or appointed done.

Full set of Lasting Power of Attorney (LPA) or activation of LPA forms (if applicable).​

Form A

Form B

Requests for patients who lack mental capacity/unable to provide consent:

With Nearest-Next-of Kin(s)-no legal representative

Patient’s spouse to complete Form A.​

All adult children to complete Form B.

Copy of patient’s and applicant’s NRIC or FIN.

Copy of patient’s marriage certificate.

Copy of all adult children’s birth certificates.​

Form A

Form B

​Requests From Third Party/Organisation

For foreign patient that left Singapore

Former employer to complete Form A & C.

Copy of letter of cancellation of patient’s work pass/permit.

Copy of flight details document that patient has left Singapore.

Copy of company letter, if applying on behalf of exited foreign worker.

Form A

Form C