Page 1419 - 6. 2016 Diary 1st half New 26-05-21 No Table

Copy for: Service user file
Social Services records GP
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Patient’s details
Male:
Female
Age/Dob
35/26/01/1981
Name
Address
Simon Cordell
109 Burncroft Ave
Enfield
Middx
Postcode EN3 7JQ
Phone no. 07763043933
Ethnic origin (DoH coding) Religion
Preferred language Interpreter needed?
Assessing AMHP
Black British Mixed Race
Not disclosed
English
Services involved state name, address, phone no.)
Hospital Consultant: Margaret Garrod
Discharged from EIS in March 2016
GP:
Dr Chong
Nightingale House Sgy
1 Nightingale Road
N9 8AJ
0208 805 9997
CMHN/CMHT Formerly Early Intervention Service
Social worker/responsible local authority (Section 117)
London Borough of Enfield
Nearest relative
Name: Mrs Lorraine Cordell
Address: 23 Byron Terrace
Edmonton
London
Postcode: N9 7DG
Phone no: 02082457454
Age/Dob: /
Relationship to patient Mother
Informed?
Consulted?
Objected?
Reason not informed/consulted
Nearest relative notified of admission.