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Client label
SA/DV Care and Treatment Centre (SA/DVTC)
Nursing Documentation Form for Sexual Assault Clients (age 12 and up)
Date: __________________________ Location of assessment: _________________________________________
Administrative Information
Client Referred by: □ Self □ Family/Friend □ Police □ Agency__________ □ Other ______________
Accompanied by: □ Alone □ Family/Friend □ Agency________________ □ Other__________________
□ Police Police Service______________ Officer’s Name___________________ Badge Number____________
Officer’s Name___________________ Badge Number____________
Occurrence Number ______________
Time Client Arrived SA/DVTC __________________
Lead SANE/RN ______________________________________ Trainee: _________________________________
Physician consultation or referred: (reason for consultation, outcome of discussion)
Physician/Other Name: __________________________________________________________________________
Outcome: _____________________________________________________________________________________
_____________________________________________________________________________________________
Child Protection: □ N/A □ Yes Worker Name :__________________ Agency Name/Number_______________
Interpreter/Support Person?: □ N/A □ Yes Name: __________________________ Language ______________
Agency Name ____________________________ Number _____________________
Relevant Health History
Allergies: ________________________________________________________________
Immunizations: Hepatitis B Vaccine: □ No □ Complete □ Incomplete □ Unsure
Tetanus □ No □ Yes □ Unsure Last Immunization __________________
Medications: ___________________________________________
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