Resident Name

{{$data['name']}}

Start Date

@if(isset($data['start_date'])) {{date(config('choicescrm.date_format_forms'), strtotime($data['start_date']))}} @endif

End Date

@if(isset($data['end_date'])) {{date(config('choicescrm.date_format_forms'), strtotime($data['end_date']))}} @endif

ADMISSION DATE:

@if(isset($data['admission_date'])) {{date(config('choicescrm.date_format_forms'), strtotime($data['admission_date']))}} @endif

PLACEMENT END DATE

@if(isset($data['placement_end_date'])) {{date(config('choicescrm.date_format_forms'), strtotime($data['placement_end_date']))}} @endif

Resident Location

RESIDENT IN SCHOOL:

@if($data['resident_in_school']==1) Yes @else No @endif

DETAILED INFORMATION:

{{$data['detail_info']}}

Key Worker:

{{$data->getEmployeeName($data['key_worker'])}}

Care Home:

{{$data->getWorkPlaceName($data['home_id'])}}

Contact Details

{{$data['contact_details']}}

Local Authority

PLACING AUTHORITY:

{{$data['placing_authority']}}

Social Worker Name

{{$data['social_worker_name']}}

Social Worker Email

{{$data['social_worker_email']}}

Social Worker Phone Number

{{$data['social_worker_phone']}}

PRACTICE MANAGER:

{{$data['practice_manager']}}

INDEPENDENT REVIEWING OFFICER:

{{$data['independent_reviewing_officer']}}

Billing Information

{{$data['billing_information']}}

Personal Details

LEGAL STATUS:

{{$data['legal_status']}}

IS THIS AN EMERGENCY PLACEMENT?:

@if($data['is_emergency_placement']==1) Yes @else No @endif

DATE OF BIRTH:

@if(isset($data['date_of_birth'])) {{date(config('choicescrm.date_format_forms'), strtotime($data['date_of_birth']))}} @endif

Calculated Age:

{{$data['calculated_age']}}

Gender

@if($data['gender']==1) Male @elseif($data['gender']==0) Female @elseif($data['gender']==2) Transgender @elseif($data['gender']==3) Other @endif

Religion Of Resident:

{{$data['resident_religion']}}

RELIGION OF PARENTs

{{$data['parents_religion']}}

ROOM NUMBER:

{{$data['room_number']}}

PREFERRED NAME:

{{$data['preferred_name']}}

NATIONAL INSURANCE NUMBER:

{{$data['national_insurance_number']}}

BILLING DETAILS:

{{$data['billing_details']}}

EDUCATION DETAILS:

{{$data['education_details']}}

UNIVERSAL PUPIL NUMBER:

{{$data['universal_pupil_number']}}

SCHOOL ATTENDED OR EDUCATIONAL PROVISION:

{{$data['school_attended']}}

ATTENDS SCHOOL RUN BY CARE GROUP?:

@if($data['attends_school_bycaregroup']==1) Yes @else No @endif

SEN STATEMENT:

@if($data['sen_statement']==1) One @else Two @endif

Reg Number:

{{$data['reg_number']}}

Health Details

NHS NUMBER:

{{$data['nhs_number']}}

DOCTOR ON ADMISSION:

{{$data['doctor_on_admission']}}

DOCTOR:

{{$data['doctor']}}

DENTIST:

{{$data['dentist']}}

OPTICIAN:

{{$data['optician']}}

HOSPITAL:

{{$data['hospital']}}

MEDICAL NEEDS::

{{$data['medical_needs']}}

KNOWN ALLERGIES:

{{$data['known_allergies']}}

PERSON WITH RESPONSIBILITY:

{{$data['person_with_responsibility']}}

REGISTERED DISABLED:

{{$data['registered_disabled']}}

HAS THE YOUNG PERSON HAD ANY HISTORY OF PHYSICAL ASSAULT ON ADULTS?

@if($data['physical_assault_on_adults_history']==0) Yes @else No @endif

HAS THE YOUNG PERSON HAD ANY HISTORY OF PHYSICAL ASSAULT ON PEERS?

@if($data['physical_assault_on_peers_history']==0) Yes @else No @endif

IS THE YOUNG PERSON LIKELY TO BE VICTIMIZED?

@if($data['likely_tobe_victimized']==0) Yes @else No @endif

IS THE YOUNG PERSON LIKELY TO BULLY OTHERS?

@if($data['likely_to_bullyothers']==0) Yes @else No @endif

HAS THE YOUNG PERSON HAD ANY HISTORY OF BEING VERBALLY AGGRESSIVE TO OTHERS?

@if($data['verbally_aggressive_toothers']==0) Yes @else No @endif

IS THERE ANY HISTORY OF CRIMINAL DAMAGE IN RESIDENTIAL UNITS?

@if($data['criminal_damage_inresidentialunits']==0) Yes @else No @endif

WAS THE ABOVE EITHER SERIOUS OR FREQUENT?

@if($data['serious_frequent']==0) Yes @else No @endif

IS THERE ANY HISTORY OF NON-ACCIDENTAL INJURY?

@if($data['non_accidental_injury']==0) Yes @else No @endif

IS THE YOUNG PERSON CURRENTLY ON THE 'AT RISK REGISTER'?

@if($data['on_at_risk_register']==0) Yes @else No @endif

IS THERE ANY HISTORY OF SEXUAL/EMOTIONAL ABUSE?

@if($data['sexual_abuse']==1) Yes @else No @endif

IS THE YOUNG PERSON SEXUALLY ACTIVE?

@if($data['sexual_active']==0) Yes @else No @endif

IS THIS YOUNG PERSON ON ANY CONTRACEPTION?

@if($data['on_contraception']==0) Yes @else No @endif

IS THERE ANY REASON TO BELIEVE THE YOUNG PERSON IS SEXUALLY COERCIVE OR MAY ABUSE OTHER YOUNG PEOPLE?

@if($data['sexually_coercive']==0) Yes @else No @endif

DOES THE YOUNG PERSON DEMONSTRATE ANY SEXUALIZED BEHAVIOUR?

@if($data['sexualized_behaviour']==0) Yes @else No @endif

IS THERE ANY HISTORY OF SELF HARM?

@if($data['self_harm_history']==0) Yes @else No @endif

IS THERE ANY HISTORY OF DRUG /ALCOHOL ABUSE?

@if($data['drug_alcohol_abuse']==0) Yes @else No @endif

IS THERE ANY HISTORY OF ARSON EITHER ATTEMPTED OR CONVICTED?

@if($data['arson_attempted_convicted']==0) Yes @else No @endif

DOES THE YOUNG PERSON UNDERSTAND CONSEQUENCES?

@if($data['understands_consequences']==0) Yes @else No @endif

IS THERE ANY HISTORY OF THE YOUNG PERSON BEING OUTSPOKENLY RACIST/SEXIST IN EXPRESSION?

@if($data['outspokenly_racist_sexist']==0) Yes @else No @endif

DOES THE YOUNG PERSON UNDERSTAND PERSONAL RESPONSIBILITY?

@if($data['understands_responsibility']==0) Yes @else No @endif

CAN THE YOUNG PERSON RELATE WELL TO ADULTS?

@if($data['relate_wellto_adults']==0) Yes @else No @endif

CAN THE YOUNG PERSON RELATE WELL TO PEERS?

@if($data['relate_wellto_peers']==0) Yes @else No @endif

DOES THE YOUNG PERSON HAVE ANY COMMUNICATION DIFFICULTIES?

@if($data['have_communication_difficulties']==0) Yes @else No @endif

IS THERE A HISTORY OF THE YOUNG PERSON BEING MISSING?

@if($data['person_missing']==0) Yes @else No @endif

OTHER IMPORTANT HEALTH DETAILS:

{{$data['other_important_health_details']}}

DISCHARGE DESTINATION TYPE:

@if($data['discharge_destination_type']==1) One @elseif($data['discharge_destination_type']==2) Two @elseif($data['discharge_destination_type']==3) Three @endif

DESTINATION TYPE IF OTHER:

{{$data['discharge_destination_other']}}

DISCHARGE DESTINATION ADDRESS:

{{$data['discharge_destination_address']}}

POSTCODE

{{$data['postcode']}}

LEAVING DETAILS

{{$data['leaving_details']}}

PREVIOUS ADDRESS:

{{$data['previous_address']}}

ADDRESS OF PARENTS:

{{$data['parents_address']}}