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78 yrs (17/7/1946)
04507 418452 / 0863773198
rogelio_kunze@example.com
NHS Number: 5216472703
Lives alone
Demographics missing
Posterior Cortical Atrophy (PCA), diagnosed Feb 2025
AA: Lower rate
Council tax: Declined - No discount
Driving: Declined to inform
Blue badge: Applied/applying
Health & wellbeing LPA: Advice given
Property & finance LPA: Alternative in place
Carer
Daren Fahey (client of professional carer)
DOX1375
OPAS 2054
76 yrs (14/8/1948)
0403053371 / 0880280355
Health LPA
Cared for
Truman Gislason (grandfather)
DOX1376
OPAS 2055
93 yrs (11/8/1931)
036417666302 / 05442 678413
Finance LPA

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Rogelio Kunze (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