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CHAT Tool - Offender Health Research Network

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Name:<br />

<strong>CHAT</strong> CARE PLAN<br />

DOB:<br />

Date: NHS Number: Admission Number:<br />

PHYSICAL HEALTH (overall summary):<br />

Physical <strong>Health</strong> Completed By:<br />

Date:<br />

SUBSTANCE MISUSE(overall summary):<br />

Substance Misuse Completed By:<br />

Date:<br />

Surname:<br />

DOB:<br />

Forenames:<br />

NHS Number:<br />

<strong>CHAT</strong> <strong>Tool</strong> Secure Estate (Version 3 - June 2013)<br />

100 | P age

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