Page 38 - 10. 2nd half 2018 New 26-05-21 No Table

Mr Simon P CORDELL
109 Burncroft Avenue
Enfield
Middlesex
EN3 7JQ
Dear Mr CORDELL
You have been referred to our Assessment Service for a New Patient Assessment.
Unfortunately, I have been unable to contact you to offer you an appointment.
I am now writing to you to advise you that an appointment has been scheduled for you and
the details are as follows:
Appointment: 1
Clinic: Crown Lane Clinic
Date/Time: 15 Jun 2018 10:00:00
Intended Duration: 60 mins Clinicians
Angela Hague / EIS
Address : Crown Lane Clinic, Crown Lane, Southgate, London, N14 5SH
YOU NEED TO PHONE AND CONFIRM THIS APPOINTMENT WITHIN FIVE DAYS OF DATE ON
TOP OF THIS LETTER; OTHERWISE THIS APPOINTMENT WILL BE CANCELLED. PLEASE SEE
NOTE BELOW)
Please complete the enclosed questionnaire form, this is titled INFORMATION FORM
(Consent Form) and ETHNICITY FORM and bring it with you to your appointment, TOGETHER
WITH THIS APPTLETTER. You may want a member of your family or a close friend to
accompany you when you attend for Assessment. The appointment will last approximately
up to 1 hour.
Failure to confirm your attendance will result in the above appointment being cancelled
and
you may be discharged back to your referrer.
Enfield Assessment Service 25 Crown Lane Southgate London N14 5SH Tel: 0208 702 3329
Fax: Email:
Yours sincerely Beverley Campbell CC: GP

3
The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 06 Jun 2018
Last Amended by Details: 07 Jun 2018
Beverley Campbell Administrative
Page Numbers: 9
Originator Details: 06 Jun 2018 13:06
Beverley Campbell Administrative
Originally Entered by Details: 06 Jun 2018 13:08
Beverley Campbell Last Amended by Details: 07 Jun 2018 12:40
Beverley Campbell Validated by Details: 07 Jun 2018 12:40
Beverley Campbell Significant: No Added to Risk
History: No