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79 yrs (20/2/1946)
0811373455 / 0699504155
roland_pagac@example.com
NHS Number: 1984389564
Lives alone
Demographics missing
Progressive Supranuclear Palsy (PSP), diagnosed Feb 2025
AA: Not yet eligible
Council tax: Exempt
Driving: Awaiting assessment
Blue badge: Granted
Health & wellbeing LPA: Declined to apply
Property & finance LPA: Declined to apply
Cared for
Harvey Kuphal (husband)
DOX1087
OPAS 1766
79 yrs (16/5/1945)
0460231822 / 02985 468062
Health LPA Finance LPA

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Roland Pagac (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