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Mariela Funk
DOX1366 OPAS 2045 Carer

83 yrs (2/7/1941)

070977475914 / 03414 248350

mariela_funk@example.com

NHS Number: 9514358953

Demographics missing

AA: -

Council tax: -

Driving: -

Blue badge: -

Health & wellbeing LPA: -

Property & finance LPA: -

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Carer

Jefferson VonRueden (civil partner)

DOX1365

OPAS 2044

PWD

70 yrs (24/4/1955)

049037250821 / 059920796067

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Activity
Member of Carers Support B Sep 2024 - ongoing

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Mariela Funk (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.

Mariela Funk DOX1366 OPAS 2045 Carer

Member of Carers Support B

Safeguarding Concern Form About the concern

Mariela Funk
DOX1366 OPAS 2045 Carer

Safeguarding Concern Form

About the concern