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AA: Higher rate
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Health & wellbeing LPA: Alternative in place
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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Fini (Josefine) Vandervort (the "Subject")

Factual account of what was said or observed. Include dates, times and locations, the person's own words, descriptions of signs/symptoms etc. Refer to Policy for full guidance on recording.

Tick all that apply

Eg. Were emergency services called? Any practical support offered etc.

Eg. Physical or mental health condition