RECOMMENDATIONS AS TO CONDITIONS (Not applicable for review) Choose ONE option only I have no recommendations to make as to the conditions to which any Standard Authorisation should or should not be subject (proceed to the Any Other Relevant information section of this form). I recommend that any Standard Authorisation should be subject to the following conditions 1 2 3 4 RECOMMENDATIONS AS TO VARYING ANY CONDITIONS (Review only) Choose ONE option only The exisiting conditions are appropriate and should not be varied The existing conditions should be varied in the following way: 1 2 3 4 SHOULD ANY RECOMMENDED CONDITIONS NOT BE IMPOSED: I would like to be consulted again, since this may affect some of the other conclusions that I have reached in my assessment. I do not need to be consulted again, since I do not think that the other conclusions reached in this assessment will be affected. ANY OTHER RELEVANT INFORMATION Please use the space below to record any other relevant information, including any additional conditions that should or should not be imposed and any other interested persons consulted by you. RECOMMENDATIONS, ACTIONS AND / OR OBSERVATIONS FOR CARE MANAGER / SOCIAL WORKER / COMMISSIONER / HEALTH PROFESSIONAL
RECOMMENDATIONS AS TO CONDITIONS (Not applicable for review) Choose ONE option only I have no recommendations to make as to the conditions to which any Standard Authorisation should or should not be subject (proceed to the Any Other Relevant information section of this form). I recommend that any Standard Authorisation should be subject to the following conditions 1 2 3 4 RECOMMENDATIONS AS TO VARYING ANY CONDITIONS (Review only) Choose ONE option only The exisiting conditions are appropriate and should not be varied The existing conditions should be varied in the following way: 1 2 3 4 SHOULD ANY RECOMMENDED CONDITIONS NOT BE IMPOSED: I would like to be consulted again, since this may affect some of the other conclusions that I have reached in my assessment. I do not need to be consulted again, since I do not think that the other conclusions reached in this assessment will be affected. ANY OTHER RELEVANT INFORMATION Please use the space below to record any other relevant information, including any additional conditions that should or should not be imposed and any other interested persons consulted by you. RECOMMENDATIONS, ACTIONS AND / OR OBSERVATIONS FOR CARE MANAGER / SOCIAL WORKER / COMMISSIONER / HEALTH PROFESSIONAL
form-3-bia-combined-assessments.docx