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Florene Wiegand
DOX1339 OPAS 2018 PWD

82 yrs (19/10/1942)

0246304437 / 0984828180

florene_wiegand@example.com

NHS Number: 3270529287

Lives alone

Demographics missing

Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia, diagnosed May 2024

AA: Not yet eligible

Council tax: Disregard granted

Driving: Declined to inform

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Alternative in place

Property & finance LPA: Alternative in place

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Activity
DA Case #DC410 Amber Manage

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Florene Wiegand (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.

Florene Wiegand DOX1339 OPAS 2018 PWD

DA Case #DC410 Amber

Safeguarding Concern Form About the concern

Florene Wiegand
DOX1339 OPAS 2018 PWD

DA Case #DC410
Amber

Safeguarding Concern Form

About the concern