Resident Details

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']}}

Behavioural & Social History

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

History of Being Verbally Aggressive to Others?@if($data['verbally_aggressive_toothers']==0) Yes @else No @endif

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

History of Non-Accidental Injury?@if($data['non_accidental_injury']==0) Yes @else No @endif

Currently on the 'At Risk Register'?@if($data['on_at_risk_register']==0) Yes @else No @endif

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

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

Sexually Coercive or May Abuse Other Young People?@if($data['sexually_coercive']==0) Yes @else No @endif

Demonstrates Any Sexualized Behaviour?@if($data['sexualized_behaviour']==0) Yes @else No @endif

History of Self Harm?@if($data['self_harm_history']==0) Yes @else No @endif

History of Drug/Alcohol Abuse?@if($data['drug_alcohol_abuse']==0) Yes @else No @endif

History of Arson Attempted or Convicted?@if($data['arson_attempted_convicted']==0) Yes @else No @endif

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

History of Being Outspokenly Racist/Sexist?@if($data['outspokenly_racist_sexist']==0) Yes @else No @endif

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

Relates Well to Adults?@if($data['relate_wellto_adults']==0) Yes @else No @endif

Relates Well to Peers?@if($data['relate_wellto_peers']==0) Yes @else No @endif

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

History of Being Missing?@if($data['person_missing']==0) Yes @else No @endif

Other Health Details

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

Leaving Details{{$data['leaving_details']}}

Previous Address{{$data['previous_address']}}

Address Of Parents{{$data['parents_address']}}