Page 676 - 2015 2nd Half No Table
P. 676

Assessing AMHP: Sam Curtis

               Services involved

               Hospital: Not applicable
               Consultant: Dr Kripalani. Consultant Psychiatrist, Lucas House,
               305 - 309 Fore Street. Edmonton, London, N9 OPD
               Tel: 020 8702 3100
               GP: Nightingale House Surgery, 1 Nightingale Road, N9 8AJ
               Tel: 020 88059997
               /CMHN /
               CMHT: Goodie Adama, Care Coordinator and Community Mental Health
               Nurse, Lucas House, 305 - 309 Fore Street, Edmonton, London, N9 OPD
               Tel: 020 8702 3100
               Social worker/responsible local authority (Section 117): None
               Nearest relative

               Name: Lorraine Cordell
               Address: 23 Bryon Terrace, Edmonton
               Age/Dob: Over 18
               Postcode: N9 7DG
               Informed: Yes
               Consulted: “Blank”
               Objected: “Blank”
               Reason not informed/consulted: n/a
               Nearest relative notified of admission: No
               Letter sent:  No
               Reason why not notified: “Blank”
               Nearest relative informed of their legal rights: Yes
               No Names and contact information for significant others: “Blank”
               Relationship to patient: Mother
               Patient’s rights

               Was The patient made aware of his/her legal status and rights under the
               1983 Mental Health Act at time of interview: Yes
               if No', please state date when he/she was made aware of above
               ENFIELD Council
               Barnet, Enfield and Haringey Health Authority
               NHS
               33,

               Assessment details
               Date of initial    21,01.16    Date of        03.02.16
               referral                       assessment
               Place of           Patient’s Home
               assessment
               Medical recommendations from:
               No
               recommendations            Date                 “Blank”
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