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Nightingale House Surgery,
1 Nightingale Road,
N9 8AJ
Tel: 020 88059997
Hospital Consultant GP
/CMHN / CMHT
Social worker/responsible local authority (Section 117)
Nearest relative
Goodie Adama, Care Coordinator and Community Mental
Health Nurse,
Lucas House,
305 – 309
Fore Street,
Edmonton,
London, N9
OPD
Tel: 020 8702 3100
None
Name: Lorraine Cordell
Address: 23 Bryon Terrace, Edmonton Postcode N9 7DG
Age/Dob: Over 18
Mother
Informed? Yes:
Consulted? “Blank”
Objected? “Blank”
Reason not informed/consulted: N/a
Nearest relative notified of admission. No
Letter sent? No
Reason why not notified: “Blank”
Nearest relative informed of their legal rights? Yes
Names and contact information for significant others:
“Blank”
Relationship to patient: Mother
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: Yes
ENFIELD Council
Barnet, Enfield and Haringey
Health Authority NHS
33,
Assessment details
Date of initial referral: 21/01/2016
Date of assessment: 03/02/2016
Place of assessment: Patient’s Home
Medical recommendations from:
No recommendations
Date completed:
Date:
