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Barnet, Enfield and Haringey

Mental Health NHS Trust

A University Teaching Trust

Your Ref:
NHS Number: 434 096 1671 Enfield Assessment Service
Hospital Number: 11214451 25 Crown Lane Southgate
15 Dec 2017 London N14 5SH Tel: 0208
702 3329 Fax: Email:
Private and Confidential to be opened by
addressee
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 Silver Street Clinic
Date/Time 2 Jan 2018 09:30:00
Intended Duration 60 mins Clinician
Dr Jane Cushion
Address 58-60 Silver Street, Enfield, Middlesex, EN1 3EP

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 APPT
LETTER. 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.

Yours sincerely

Beverley Campbell

CC: GP

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