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Ben (Ebenezer) Auer
DOX1059 OPAS 1738 PWD

67 yrs (17/3/1958)

06608 091693 / 06815 955001

omer_auer@example.com Demographics missing

Mixed Lewy Body and Alzheimer's

AA: Not discussed

Council tax: Declined to apply

Driving: Not discussed

Blue badge: Granted

Health & wellbeing LPA: Alternative in place

Property & finance LPA: Applied/applying

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File	Case	Uploaded

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Ben (Ebenezer) Auer (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?

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Ben (Ebenezer) Auer DOX1059 OPAS 1738 PWD

Safeguarding Concern Form About the concern

Ben (Ebenezer) Auer
DOX1059 OPAS 1738 PWD

Safeguarding Concern Form

About the concern