RESIDENT NAME

@if(isset($data['first_name'])) {{$data['first_name'].' '.$data['middle_name'].' '.$data['surname']}} @endif

PREFERRED NAME

@if(isset($data['nick_name'])) {{$data['nick_name']}} @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

DETAILED INFORMATION:

{{$data['detail_info']}}

KEY WORKER:

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

CARE HOME:

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

CONTACT DETAILS

{{$data['contact_details']}}

EMAIL ADDRESSS

{{$data['email']}}

MOBILE

{{$data['mobile']}}

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 INFOMATION

{{$data['billing_information']}}

LEGAL STATUS:

{{$data['legal_status']}}

IS THIS AN EMERGENCY PLACEMENT?:

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

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']}}

IS THE YOUNG PERSON LIKELY TO BE VICTIMIZED?

IS THE YOUNG PERSON LIKELY TO BULLY OTHERS?

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

IS THERE ANY HISTORY OF CRIMINAL DAMAGE IN RESIDENTIAL UNITS?

WAS THE ABOVE EITHER SERIOUS OR FREQUENT?

IS THERE ANY HISTORY OF NON-ACCIDENTAL INJURY?

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

IS THERE ANY HISTORY OF SEXUAL/EMOTIONAL ABUSE?

IS THE YOUNG PERSON SEXUALLY ACTIVE?

IS THIS YOUNG PERSON ON ANY CONTRACEPTION?

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

DOES THE YOUNG PERSON DEMONSTRATE ANY SEXUALIZED BEHAVIOUR?

IS THERE ANY HISTORY OF SELF HARM?

IS THERE ANY HISTORY OF DRUG /ALCOHOL ABUSE?

IS THERE ANY HISTORY OF ARSON EITHER ATTEMPTED OR CONVICTED?

DOES THE YOUNG PERSON UNDERSTAND CONSEQUENCES?

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

DOES THE YOUNG PERSON UNDERSTAND PERSONAL RESPONSIBILITY?

CAN THE YOUNG PERSON RELATE WELL TO ADULTS?

CAN THE YOUNG PERSON RELATE WELL TO PEERS?

DOES THE YOUNG PERSON HAVE ANY COMMUNICATION DIFFICULTIES?

IS THERE A HISTORY OF THE YOUNG PERSON BEING MISSING?

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']}}