Enquiry (history) form for the patient's next-of-kin to fill in on their arrival to hospital

Scope and Content

To form was designed to capture information on the patient's background and personality, the history of illnesses and conditions within the family, the medical history of the patient, and the signs and symptoms of the patient's "nervous or mental trouble". It would have been used by the doctors in the hospital to help them understand the case and the promote patient's p recovery. It was drawn up by the Clinical Psychiatry Sub-Committee and approved by the Royal Medico-Psychological Association for use by mental hospitals.