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Rachel Prohaska
DOX1160 OPAS 1839 PWD

84 yrs (12/1/1941)

0447574116 / 070153661150

rachel_prohaska@example.com

NHS Number: 3417421705

Demographics missing

Mild cognitive impairment, diagnosed Sep 2024

AA: Lower rate

Council tax: Applied/applying

Driving: Informed and driving

Blue badge: Not discussed

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Declined to apply

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File	Case	Uploaded

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Rachel Prohaska (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.

Rachel Prohaska DOX1160 OPAS 1839 PWD

Safeguarding Concern Form About the concern

Rachel Prohaska
DOX1160 OPAS 1839 PWD

Safeguarding Concern Form

About the concern