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Delia (Bridget) Larson
DOX1023 OPAS 1702 PWD

90 yrs (15/8/1934)
03478 075980 / 034422283846
clayton_larson@example.com Demographics missing
Primary Progressive Aphasia (PPA), diagnosed Nov 2024
AA: Declined to apply
Council tax: Disregard granted
Driving: Declined to inform
Blue badge: Declined to apply
Health & wellbeing LPA: Not got capacity
Property & finance LPA: In place
1 ended relationship: Conny (Cornelia) Ferry (brother in law)

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Delia (Bridget) Larson (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