{"text":"HHS$ Confidentinl: Peraonal data about a patlent \nNHS tHerareuTIC counsELLING sERVICES \nLanarkshire \nREFERRAL FORM \nPATIENTNA MU - --Date of Refertal.................. \nD.O.RB CHI No: 1.20\u20189823403 : \n\u201cEeee Hunt, Patricia \nCHINo ...... \u00e9\u00e9;g\ufb01{ froir View \u00a9 Referring Doctor...........o....ooo. .. \nADDRESS fiorre o 6 oiac\u2122 \u2122\u2122 \n81802 Kilsythihie ! \n.......................................................... PHQ 9 - HADS Score \nPostCode ..ot e \nTel. No ... e e v ( \nPatient\u2019s preferred means of being contacted;......p.\u00e9\u2018.\u2019f'.\u2018f.\u2018.\u2019.'% ..... 6 ;Z??? . %3 (&\/ \"\u00e9 ...... \nJ M .l Lol c Ao, Cords alae . \nIs the Patient currefitly rece Ing prescri \ned psychotropic medication? Yes No \no \nAnti-psychotic D Anti-dapressant B\/ Anxiolytics D . \nPSS N el @5\\7% @v\ufb01o\/\u00e9 I_ZQ\/W(\/ \nHas the client been treated for this conditionmther NHS Mental Health Service? \n' el e[ \nPlease provide details \n.......................................................... \n---------------------------------------------------------- \nAdditional comments from referrer \nLANARKSHIRE NHS THERAPEUTIC COUNSELLING SERVICES \u2018 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