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Rosia Abshire
DOX1215 OPAS 1894 PWD

93 yrs (15/1/1932)

04214 452615 / 05242 529387

rosia_abshire@example.com

NHS Number: 8332009286

Demographics missing

Corticobasal Degeneration (CBD), diagnosed Aug 2024

AA: Applied/applying

Council tax: Waiting for AA

Driving: Awaiting assessment

Blue badge: Granted

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Not discussed

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Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Rosia Abshire (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.

Rosia Abshire DOX1215 OPAS 1894 PWD

Safeguarding Concern Form About the concern

Rosia Abshire
DOX1215 OPAS 1894 PWD

Safeguarding Concern Form

About the concern