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Nicholle Kris
DOX1073 OPAS 1752 PWD

93 yrs (1/7/1931)

0670699627 / 031939060337

nicholle_kris@example.com

NHS Number: 4234291560

Demographics missing

Dementia with Lewy Bodies, diagnosed Jan 2025

AA: Not discussed

Council tax: Disregard granted

Driving: Informed and driving

Blue badge: Applied/applying

Health & wellbeing LPA: In place

Property & finance LPA: Advice given

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File	Case	Uploaded

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Nicholle Kris (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.

Nicholle Kris DOX1073 OPAS 1752 PWD

Safeguarding Concern Form About the concern

Nicholle Kris
DOX1073 OPAS 1752 PWD

Safeguarding Concern Form

About the concern