Page 1420 - 6. 2016 Diary 1st half New 26-05-21 No Table
P. 1420

Letter sent?
               Reason why not notified:
               Nearest relative informed of their legal rights?
               Names and contact information for significant others:
               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?
               If ‘No’, please state date when he/she was made aware of above.
               Assessment details
               Date of initial            Date of
               referral:       15/08/2016 assessment 15/08/2016
               Place of        Wood Green Police Station
               assessment:
               Medical recommendations from:
               Dr. Albazaz                      Date:  15/08/2016
               Dr. Amin                         Date:  15/08/2016
               Please select if Sec. 12 doctor or GP
               Legal status at time of assessment
               □ Inf.      □ Sec, 135
               □ Sec.2     □ Sec. 136
               □ Sec.3     □ Detained by Police, not
               0 Sec.4     under Sec.136
               □ Sec.5(2)  □ CTO
               □ Sec.7     □ Other
               Any delays in admission process?
               Time assessment:
               Started:
               Outcome details
               N/A
               12:30 PM      Completed  4:40 PM
               Date admitted/detained Admitted/detained at: 16/08/2016
               Time of admission: 4:30 AM
               Hospital/Unit Ward:
               St Ann's Hospital
               Haringey Assessment Ward
               ENFIELD
               Council
               www.enfied.Gov.uk
               Legal status at end of assessment
               No admission
               Informal admission
               Remains informal inpatient E3 Detained under Sec.2
               Detained under Sec.3 LI Detained under Sec.4
               Placed under Sec.7
               CTO: Yes □ No □ Renewal □ Revoke □
               Other:
               October 2009
               Barnet, Enfield and Haringey health Authority
               NHS
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