SSCG Missed Call Record


1. Missed Call reporting Form
Page 1 of 2

Please complete this form whenever a scheduled visit has not been met. All sections are to be completed. A copy is to be placed on the S/U file and a copy kept in the missed calls file.

1. SECTION 1 - Service User Details


2. Date and Time of Missed Call


3. Type of Visit


4. Reason For Missed Call


5. please describe in details what needs did not get met


6. Please list the names of the Care Staff involved in the call


7. Name of person completing this form