12.07.2015 Views

Safeguarding Children Record Keeping Standards - Halton and St ...

Safeguarding Children Record Keeping Standards - Halton and St ...

Safeguarding Children Record Keeping Standards - Halton and St ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

APPENDIX 1Click here to download the formHealth Visitor Request for Historical Family InformationThe named family below have recently had a new birth. Please update your records accordingly. In orderto ensure that we have all the relevant information regarding the family circumstances please could youfill in the questions below?HV Name …………………… Base……………………Contact Number………………….Date of Request………………………………………………Family Surname (please list all alias’)………………………………………………………Name of <strong>Children</strong> Date of Birth School Attending…………………… …………….. ………………………………………………….………………….. ………….. ……………………………………………………………………….. ……………………………………………………………………….Address……………………………………………………………………………………….Mother/carers Name………………………………………………………………………..Father/Partner’s Name…………………………………………………………………….Is there any reference in the records to: (please tick)The Child(ren) ever having been on Child Protection Plan?YES** NOThe Child(ren) ever been Looked After either by Local Authority or by Family orFriend ?Any concerns regarding potential risk to professionals visiting the family home ?Any concerns regarding any individuals living in or visiting the family home?Is there any relevant information within the main body of the child’s record?Is there any relevant supplementary documentation (e.g minutes, reports etc)?Page 11 of 12

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!