Page 590 - 4. 2014 2nd half New 26-05-21 No Table

Female:
Age/Dob: 33/26/01/1981
Ethnic origin (Dob coding): Mixed UK
Religion: None
Preferred language: English
Interpreter needed? Yes:
No: Yes
Assessing AMHP: M Garrord / Anjaneyan

Services involved (Please state name, address, phone no.)
Hospital: Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL
Consultant: Dr Helen Moorey, ECRHT, Ivy House, Chase Farm
Hospital, The Ridgeway, Enfield, EN2 8JL
Tel: 02087025060
GP: Dr. Warren, Nightingale House surgery, 1 Nightingale Road,
Edmonton, N98AJ Tel: 08444778933
CMHN/CMHT: Enfield CRHT
Social worker/responsible local authority (Section 117): London
Borough of Enfield

Nearest relative
Name: Loraine Cordell
Address: 23 Byron Terrace Edmonton
Phone no: 079807333545
Age /Dob:
Postcode: N97DG
Relationship to patient:

Patient’s rights

Mother:
Informed: Yes
Consulted: Yes
Objected: No
Reason not informed/consulted: “Blank”
Nearest relative notified of admission: No
Letter sent: “Blank”
Reason why not notified: Not admitted
Nearest relative informed of their legal rights: Yes
Names and contact information for significant others: “Blank”
Was the patient made aware of his/her legal status and rights under the
1983 Mental Health Act at time of interview: No
If ‘No’, please state date when he/she was made aware of above

Assessment details
Legal status at time of assessment
Date of initial 20/11/2014 Date of assessment 25/11/2014
referral
Place of assessment Patient Home
Medical recommendations from: