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92 yrs (21/4/1933)
060737822019 / 0752454809
burton_hegmann@example.com
NHS Number: 0774840854
Lives alone
Demographics missing
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia, diagnosed Jun 2024
AA: Not discussed
Council tax: Advised to apply
Driving: Awaiting assessment
Blue badge: Advised to apply
Health & wellbeing LPA: Alternative in place
Property & finance LPA: Alternative in place

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Burton Hegmann (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