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Aggy (Agatha) Corwin
DOX1046 OPAS 1725 PWD

04486 617877 / 0948216512

maxwell_corwin@example.com

Lives alone

Demographics missing

Vascular dementia

AA: Applied/applying

Council tax: Declined to apply

Driving: Informing

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Alternative in place

Property & finance LPA: Not discussed

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This profile has more than 1 open Admiral Nurse case.

Cared for

Ferdie (Ferdinand) Runte (other)

DOX1047

OPAS 1726

82 yrs (18/3/1943)

095424095722 / 0594279660

Health LPA Finance LPA

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Ferdie (Ferdinand) Runte (other)

Health LPA Finance LPA

View profile | Edit relationship

OPAS ID: 1726

Phone: 095424095722 / 0594279660

Email: chase_runte@example.com

Address: -

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Aggy (Agatha) Corwin (the "Subject")

Summary of concern

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.

Summary of any immediate actions taken

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

Does the subject have care and support needs?

Eg. Physical or mental health condition

Notes about care and support needs

Do you feel the subject is able to make their own decisions about what happens next?

Notes about decision capabilities

What support / outcome does the subject want?

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Aggy (Agatha) Corwin DOX1046 OPAS 1725 PWD

Ferdie (Ferdinand) Runte (other)

Safeguarding Concern Form About the concern

Aggy (Agatha) Corwin
DOX1046 OPAS 1725 PWD

Safeguarding Concern Form

About the concern