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Chris Allan

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Highgate Private Hospital

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IPTAMS : Referral Sent : Chris J Allan

Patient Details
Patient ID :	008988	Patient Name :	Chris J Allan	NHS Number :	0078777

Overview

Date Of Birth :

12/04/1979

Lead Contact :

Bin James

GP Practice :

North Bradford Drug Service - 006787

G P :

Mark William - G0067870

Contact Information

Address :

Centurion House, 3rd Floor,

Home Phone :

989-876-7723

37 Jewry Street,

Work Phone :

989-876-7765 Ext: 2323

London

Mobile :

232-770-8956

EC3N 2ER

Email :

Chris.Allan@email.com

Referrer Details

Referring Organisation :	Parkside Hospital	Organisation Code :	00788889

Contact Information
Address :	Centurion House, 3rd Floor,	Phone :	989-876-7765 Ext: 2323
	37 Jewry Street,	Fax :	989-876-5645
	London	Email :	Chris.Allan@email.com
	EC3N 2ER

Other Information

Referring Consultant :

GMC Code :

Treatment Code :

Receiving Details

Receiving Organisation :

Organisation Code :

Contact Information
Address :	Centurion House, 3rd Floor,	Phone :	989-876-7765 Ext: 2323
	37 Jewry Street,	Fax :	989-876-5645
	London	Email :	Chris.Allan@email.com
	EC3N 2ER

Other Information
Referring Consultant :		GMC Code :		Treatment Code :

Pathway Details

Patient Pathway Identifier :

Is This Referral The :

Is This Referral For :

CCG :

Allocated By (Org Code) :

Clock Started On :

Organisations Involved :

Decision To Refer Date :

IPTAMS Sent :

Date Sent :

02/03/2013 11:00 PM

User Sent :

Mark Miller

Patient Interaction

Call Date :

Called By :

Call Notes :

Call Details List

Call Number	Call Date	Called By	Call Notes
4	02/04/2013	Chris J Allan
3	03/04/2013	David Brown
2	05/04/2013	Mark Sam Peterson
1	07/08/2013	Kelly Grand

Contact / Cancellation Letter

Letter Type :

Letter Sent Date :

Sent By :

Contact Letter List

Letter Type	Letter Sent Date	Letter Sent By	View
Contact	02/04/2013	Chris J Allan
Cancellation	03/04/2013	David Brown