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Flossie (Florence) Cormier
DOX1071 OPAS 1750 PWD

08310 814814 / 029307733583

homer_cormier@example.com Demographics missing

Vascular dementia, diagnosed Apr 2025

AA: Application declined

Council tax: Advised to apply

Driving: Awaiting assessment

Blue badge: Declined to apply

Health & wellbeing LPA: Advice given

Property & finance LPA: Not discussed

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This profile has more than 1 open adviser case.

This profile has more than 1 open Admiral Nurse case.

Number	Completed at
1	18th Sep 2024	edit

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Flossie (Florence) Cormier (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.

Flossie (Florence) Cormier DOX1071 OPAS 1750 PWD

Safeguarding Concern Form About the concern

Flossie (Florence) Cormier
DOX1071 OPAS 1750 PWD

Safeguarding Concern Form

About the concern