Home
Forms Library
Mental Capacity Assessment Form

Mental Capacity Assessment Form 2025

Mental Capacity Assessment Form Preview on Page 1

See details

4.5 out of 5

41 votes

The document is a Mental Capacity Assessment Form used in a hospital setting to evaluate an individual's capacity to make decisions. It includes sections for recording personal details, the nature of the decision, assessment of mental capacity, and considerations for best interests. The form guides the assessor through specific questions regarding the individual's ability to understand, retain, use information, and communicate decisions. It also addresses advance decisions and involvement of next of kin or legal representatives in the decision-making process.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Mental Capacity Assessment Form with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Mental Capacity Assessment Form in our editor.
Begin by entering the patient's name and location at the top of the form. This information is crucial for identifying the individual being assessed.
Fill in the date you are completing the assessment. This helps establish a timeline for capacity evaluation.
In the 'Nature of Decision' section, provide specific details about what decision is being assessed for capacity.
Indicate whether there is any impairment of mental functioning by checking Permanent, Temporary, or None, and provide additional details as necessary.
Answer questions regarding the individual's ability to understand, retain, use information, and communicate their decision. If any answers are 'No', note that they lack capacity at this time.
Document any steps taken to assist the person in making their decision, such as using visual aids or other support methods.
Complete sections regarding advance decisions and best interests considerations, ensuring all relevant parties are noted.
Finally, fill out your name, role, and dates related to form completion and referral processes before saving your work.

Start using our platform today to easily complete your Mental Capacity Assessment Form online for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the 4 pillars of capacity evaluation?

Four Component Model of Decisional Capacity. Capacity for healthcare is generally defined in terms of four dimensions or criteria: (a) Understanding, (b) Appreciation, (c) Reasoning, and (d) Expression of a Choice (Grisso Appelbaum, 1998a; Roth, Meisel, Lidz, 1977).

What are the four Cs of capacity assessment?

The Four Cs of CAPACITY Context Does the person understand the situation they are facing? Choices Does the person understand the options? Consequences Does the person understand the possible ramifications of choosing various options? Consistency Do they fluctuate in their understanding of choices?

What is the MCA checklist?

Section 4 of the Mental Capacity Act has a best interests checklist. This outlines what someone needs to consider before taking an action or making a decision for you while you lack capacity. They should: Consider your wishes and feelings.

How do you do a mental capacity assessment?

How is mental capacity assessed? understand the information relevant to the decision. retain that information for long enough to make the decision. use or weigh up that information as part of the process of making the decision. communicate their decision in any way.

What are the 4 elements of capacity?

Paul Appelbaum outlines four criteria that patients must meet to be deemed to have capacity [1, 2, 3]. These four criteria are 1) communicating a choice, 2) understanding the relevant information, 3) appreciating the situation and its consequences, and 4) reasoning about treatment options.

What does a mental capacity assessment test?

The MCA covers all types of decisions, big and small. This may be from the day-to-day, such as what to wear or eat, through to more serious or complex decisions, about, for example, where to live, whether to have surgery or how to manage finances or property.

What are the 4 principles of assessing capacity?

Principle 1 A presumption of capacity. Principle 2 The right to be supported when making decisions. Principle 3 An unwise decision cannot be seen as a wrong decision. Principle 4 Best interests must be at the heart of all decision making.

Mental Capacity Assessment Form 2025

Here's how it works