• Introduction
  • Getting Started
  • Contact details
  • Missing Person Details
  • Physical Appearance and Circumstances
  • Health Information
  • When/Where/ What
  • Additional Information
  • Summary

Introduction on when and how to use this form:

This form should be completed by Health New Zealand Mental Health Services and Emergency Departments to notify Police when:

  1. People who go missing from or are under the care of specialist mental health, addiction, and/or intellectual disability services, including:
    • a. Voluntary patients
    • b. Involuntary patients
    • c. Inpatients and those under the care of community teams
  2. People who go missing from an Emergency Department after presenting for/with mental health concerns
  3. Special patients - inpatient and community (as defined under Mental Health legislation) and Care recipients – inpatient and in residential services as defined under the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003

These reports must be based on clinical risk and/or legislation requirements.    

If there are immediate safety/risk concerns call 111, then complete this report.

Note: Any request that involves a special patient or care recipient call 111, then complete this report.  

There are two categories relating to missing persons:

Emergency
Ohotata
111

Is this an Emergency?

Where there is a serious and immediate risk to the life or safety of any person(s); or a serious offence involving violence and/or property is in progress or is about to be committed.

You must call 111:

Verbally provide details and complete this form.

Non-emergency
Ohotata Kore
105

Is this a Non-Emergency request?

The risk does not require an emergency response, however Police powers or capabilities are required to locate the person and prevent significant harm.

You must acknowledge the following aspects to continue:

If these are not met Police may DECLINE this report

Unit and hospital surroundings searched (inpatient only)
Contact attempts made with the missing person
Family/whānau, carers, or key contacts notified and assisting where appropriate
Home or known address checked if safe and feasible within local resourcing