546 JOURNAL OF PROCEEDINGS [Feb. 28

of any county, or the supervisors of city charities of the
Department of Charities and Corrections of the city of
Baltimore, may consent in writing to the commitment in
accordance with the provisions of section one of this
Article, of any indigent insane person from the respec-
tive counties or the city aforesaid not able to pay the
whole cost of his maintenance, but who may be able to
pay for part thereof, as a reimbursing patient, and
designate the rate per week which shall be reim-
bursed to the county or city of Baltimore, from which
said patient is committed; but no person shall be commit-
ted as a reimbursing patient who is himself able, or who
has relatives or others legally chargeable with the sup-
port of said person, who are able to pay the rates for
private patients at the State hospitals, or at any institu-
tion or retreat for the insane within the State.

31. No person shall be committed to or confined as a
patient in any institution, public, corporate or private,
or almshouse, or other place for the care and custody of
the insane or idiotic, except upon the written certificates
of two qualified physicians of the State of Maryland,
made within one week after separate examination by
them of said alleged lunatic, and setting forth the insanity
or idiocy of such person, and the reason for such opinion.
No certificate shall be of force which shall be pre-
sented for the commitment of any patient more
than thirty days after date of examination. The

form of physician's certificates shall be substantially as
follows:

State of Maryland, county of—————, dated——————.
I, a resident of the county or city of ————————-, being
a graduate of ————————— Medical College, and having
practiced as a physician five years, do hereby certify,
that on this —————— day of —————————, I have per-
sonally examined —————————, age ———, (sex)——————,
(social state), and do verily believe that the said——————
is insane, and that the disease is of a character which, in
my opinion, requires that the person shall be placed in a
hospital or other establishment where the insane are de-
tained for care and treatment; I further certify, that
I am not related by blood or marriage to the said
—————————————————, nor in any way con-
nected as medical attendant or otherwise, with the