Client detailsClient nameDate of birthAddressMobileEmailOther ContactOther contact nameRelationshipMobileGP, Surgery and contact detailsAddress & PhonePreferred means of contactChoosePhoneLetterTextOutreach teamEmailOther contactSubstance detailsSubstance of misuse (main)Quantity and Frequency of use (main)Substance of misuse (other)Quantity and Frequency of use (other)Alcohol assessmentsAUDIT: ScoreAUDIT: Risk levelSADQ: ScoreSADQ: Dependence levelCurrent locationChooseHospitalDischargedWard & Contact detailsVerbal consent gained for...UntitledGP ContactHorizon/OutreachDisclosure of checklist/further detailsContact with other health care professionalsContact via family or significant otherChecklistChoose Pregnant Safeguarding issues Domestic Violence Injecting drug use Mental Health Issues Physical health issues Risk of self-harm or Suicide History of seizures / hallucinations Probation Learning disabilities Alcohol more than 40 units per day History of violence or aggression Further detailsAdd further detailsWould you be interested in learning about Horizon’s employment support service? Yes Name of referrerContact details This iframe contains the logic required to handle Ajax powered Gravity Forms. Related Content:World AIDS Day 2022MonkeyPox information for LGBTQ+ venues, promoters, and sex…National HIV Testing Week 7th February - 13th February 2022Impact Report 2020/21Festive Greetings from Renaissance UK 2022/23Renaissance UK Welcomes Patron, Dan Westwood