The person making a report as required by § 22-46-9 and as permitted by § 22-46-11 shall provide, or a proper agency receiving the report shall acquire, to the extent possible, the following information:
(1) The name, age, physical address, and contact information of the elder or adult with a disability;
(2) The name, age, physical address, and contact information of the person making the report;
(3) The name, age, physical address, and contact information of the caretaker of the elder or adult with a disability;
(4) The name of the alleged perpetrator;
(5) The nature and extent of the elder or adult with a disability's injury, whether physical or financial, if any;
(6) The nature and extent of the condition that required the report to be made; and
(7) Any other pertinent information.