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Assessing AMHP Anthony Manning
Services involved (Please state name, address, phone
no.)
Nearest relative
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: “Marked as Yes”
If ‘No’, please state date when he/she was made aware
of above
Assessment details
Date of initial 25/10/2018
referral
Date of assessment 25/10/2018
Place of assessment Wood Green Police Station
Wood Green Police
Station
Medical
recommendations
from:
Dr. P Keane
Date 25/10/2018
Dr. S Hewitt
Date 25/10/2018
Please select if YES
Sec.12 doctor or
GP:
Legal status at time of assessment
Inf. NO
Sec.2 NO
Sec.3 NO
Sec.4 NO
Sec.5(2) NO
Sec.7 NO
Sec. 135 NO
Sec. 136 NO
Detained by Police, Yes
not
under Sec. 136 NO
CTO NO
Other NO