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Claud Brakus
DOX1181 OPAS 1860 PWD

72 yrs (27/9/1952)
065125676019 / 075130651026
claud_brakus@example.com
NHS Number: 0742568075
Demographics missing
Primary Progressive Aphasia (PPA), diagnosed Aug 2024
AA: Higher rate
Council tax: Declined - No discount
Driving: Declined to inform
Blue badge: Granted
Health & wellbeing LPA: Declined to apply
Property & finance LPA: In place
Cared for
Nicolasa Dietrich (daughter-in-law)
DOX1182
OPAS 1861
89 yrs (25/4/1936)
03117 641750 / 09577 091192
Finance LPA

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Claud Brakus (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