{"text":"Lothian Regional Council \nDepartment of Social Work \nReception into Care - Information to Care Staff (RIC 6) ; \n%*Delete as appropriate \nFull Name of Child D.OB. 2 \nJ \nPrdiel OF S R0 Religion . \nLEGITIMATE \/ILLEGITIMATE\/EXTRA MARITAL| \u00b0 \/ \nAct & Sectionunder whichadmitted \/ \nW NeoT kA ( 65T \nST S \nL \nAdmitted by (SW) \n\/ \n( d A \n- N ANAD 002 ! \nSW Area & phone no. . Date form \nn A X O e completed \nAter> 669-125 1 2=2\/,0\/S \nAt I \nHome Address \nSchool\/Nursery attended \nAdmitted from (ifdifferent) . \nC ASTLETARAS \n; e Staff Contact \n> Y rA \nS [ < (\u00bb. A GruetL R \n3 Other agenciesinvolved 3 \nCASTLE L t\"\\f\\\/ [N VEhnESs S.w . DenT 1w A-)('\/\"' (61 \nName of Father D.O.B. Occupation Address Tel. No. | Marital \noo Tine Sk status \nW L \\\u2018\\U'I\\\u2018 \u00b0 ki ~\\'-\\ \/ . { \u201d\u00bb \nCustody | f\"\/\/ [ APBavRETL > 4\\ RALG MiLe A~ SEPARATY \n, o\/ \/ \n\ufb01 ,YE$\/N\u00b0 & CL PN e A \nSlame of Mother ,_ID.O.B. Occupation Address Tel.No, | Marital \ng, K C %8 \/ \/ status \nV (=Y 5L < - ) o < > < \nCustody 7 A | A ek pets D\u20ac \n*YES\/NO G \nDoctor\u2019's Name & Address Siblings & Addresses Possible Visitors \n{ . Pl A 1 ) \n\\{ N M C l\\\\\\)& {\\)f 3 ERT X \/\\U\\)(\u00bbA\\ OS FEARL L RaS\u2122 Mot \no - 5 O @ 4 oA \nCapicmeran Cagppe R i*\/\u2018\\ CRa- IS \nC.BS Tt v \/{7\/\u2018\/\\\/ \nTel.No. \nNames of other significant adults Addresses Relationship \n: M Crosc'CoHAR \n'~\u2018 S5t ( (\u00a2 \/ \",\\\\ \u201c(\u2019L\\\\., NSao y\\) <N \/ \/l (\\ \" Al ({ M iLc A2 ( ST & \u00a2 t g }\\ et Ta \ng . v o l \n\u00a3 And f\\ pgerA s M v M \n- _2asons for admission. ) \nyV 2 i ) \\ \n\u2018 J N 5 7 5 4 & I { W \u2018\/\\\/\"J\"\u2018. L\/ \n' B RePADOWN b s T B G TV RTS8l LS AR R \nB . T T \/98) o (Y IeoISEN M \n\u2018 \"';\u20187 (v>\u2018~|\u2019, (- ATTHER N C \/ !l\u2018\/\u201d\u2014 \/ ~{ \n8 VErAlA | pJ [ OER NESS o \/ PLRES \nChild\u2019s attitude to RIC\/What was the child told? \u2018 \n; N ( \\ L I f.l)< = AYED ( (3\u00a2 (\/l'_ L4 X D \u00a2 \/\/ [~ S ,..\/: e 4 =2l o2 NN \n\/ TR AL > { =\/ (T \u20ac S < OUNNENG \/\\'-\u201c\u201d\"\"! ! v \nP e CCANS\/ oNS ey x5 VEP ( en W ITh (T DWETIHN \nSO () it \ncarer\u2019s contract with Social Worker e.g. duration of placement. Forms Rec'd =tick \nN DS y N ,\u2018\"\u2018\u201c\u2018 A \/ ) AV ;ll\/ 4 ALt \/ U adi A L v \nRIC = 2 \n(\\ ( \nY koo AT \u2018. RL 1\\l PAT (O RIC - 3 \n\/ RIC - 4 \n; \u2018 | [ A J E Oy uR G H ,rw\u2019\\\u201c A RIC = 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