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Charis Goldner
DOX1266 OPAS 1945 PWD

65 yrs (24/7/1959)

04712 719317 / 0228042490

charis_goldner@example.com

NHS Number: 3758948924

Lives alone

Demographics missing

Corticobasal Degeneration (CBD), diagnosed Oct 2024

AA: Higher rate

Council tax: Not discussed

Driving: Informing

Blue badge: Granted

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Applied/applying

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Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Charis Goldner (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.

Charis Goldner DOX1266 OPAS 1945 PWD

[Experimental] AUKO Timeline: This page shows activity from other services. Feedback welcome at support@oxfordcodelab.com.

Safeguarding Concern Form About the concern

Charis Goldner
DOX1266 OPAS 1945 PWD

Safeguarding Concern Form

About the concern