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

75 yrs (21/3/1950)
0959075526 / 04283 922904
tommy_wilderman@example.com
NHS Number: 0465141188
Demographics missing
Dementia (origin non-specific), diagnosed Feb 2025
AA: Higher rate
Council tax: Declined - No discount
Driving: Not discussed
Blue badge: Declined to apply
Health & wellbeing LPA: Advice given
Property & finance LPA: Alternative in place
Carer
DOX1118
OPAS 1797
87 yrs (9/11/1937)
093276121427 / 07795 493412
Finance LPA
Carer
Cindy Hodkiewicz (sister in law)
DOX1119
OPAS 1798
72 yrs (15/3/1953)
078537951130 / 046998074215
Finance LPA

Armando Rosenbaum (cousin)

Carer Finance LPA
OPAS ID: 1797
Phone: 093276121427 / 07795 493412
Address: 1676 Bartoletti Loop, Suite 806, Schroederville, LC8 5DJ

Cindy Hodkiewicz (sister in law)

Carer Finance LPA
OPAS ID: 1798
Phone: 078537951130 / 046998074215
Address: 6756 Hilpert Plaza, Suite 443, Colemouth, MN3 2DV

Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Tommy Wilderman (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