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Barnet, Enfield and Haringey

Mental Health NHS Trust

North London Forensic Service

Referral Form

Is this referral for:-

• admission to medium security (please note that cases admitted to medium security for the
most part concern serious violence, such as GBH or homicide)

• admission to low security

• risk assessment: please specify whether this is a general assessment or refers to a specific
risk (e.g. expressed homicidal intent towards a particular individual or a group, such as
children)

• advice on diagnosis and management.

• advice about longer term secure placement (please indicate current duration of stay in
locked ward environment).

• instead of the patient being seen in the first instance, would you like a telephone
consultation with a Consultant instead?

Or for Forensic Integrated
Community Services (FICS). See FICS
information :
referral guidance for more

• Training CD

• Consultation ED

• Attendance at a case review/team meetings CD

• Assessment ^

• Case assisted working □

• Full case management □

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