{"text":"Page 1 of 3 \nHospital | Clinic Day Time Hospital \nuse ! Date No. \nonly \nIgate Referral Sent 2017-06-16 \nREFERRAL LETTER \nMEDICAL IN CONFIDENCE \n\u00a51010138623277* - *1209823403* \nUnique Care Pathway Number: 101013862327) CHI No: 1209823403 \nREFERRAL TO \nLIAS CumbernauldG1L8 Consultant \/ receiving \nLAN Addictions Protocol practitionerand\/orspecialty \u00a2linic \nCommunity Addiction Team Base \n9 Guthrie Street \n\u2014\u2014 Hospitaland hospital address \nHamilton ' ' : . Hospital unit no. \nML3 6LD \u2018 ' : | L344C} \n' Email address \nUrgency of referral Routine \nPATIENT DETAILS \nPatient's address \nSurname - |HUNT , 22 CUILMUIR VIEW \nForename(s) |[PATRICIA \u2018 Efgm \nTide - G65 9HH \nSex Female \nDate of birth |12-5ep-1982 | __ Contact number(s) \nate of bi -Sep- : \n: |Voice:827726 07999431816 | \nCHI no. 1209823403 | ; \nREFERRING PRACTITIONER DETAILS Practice address \nMame IDr. Sandra Brown ' l Kilsyth Community Health Centre \nGMC code 2856289 GPcode |10791 Alrdrie Road \n| [peseam ] oot ] i \nPractice name [Kilsyth Medical Partnership (61502) \nPractice code |61502 ) ' Contact number(s) \n|V0|ce:01236 801677 \nAdditional Administrative Information \nIs the client aware that information imay be shared? :Yes \nDistrict Nursing Team Involved? :No \nSoclal Work Involved? :No \nChild Protection Involved? :No \nAdult Supervision\/Protection Involved? :No \nAny cutrent suicide risks? :No \nAny history of aggression or violence or any risk to visiting staff? :No \nAny relevant physical disability or mental health problems? :No \nfile:\/\/\/N:\/PCTI\/Docman7\/Data_S1\/Document\/DMEDOC01\/00003900\/01099746.HTM 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