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Alma O'Kon
DOX1407 OPAS 2086 PWD

90 yrs (29/6/1934)

088822011389 / 0996372751

alma_o'kon@example.com

NHS Number: 1668195992

Demographics missing

Creutzfeld-Jakob disease (CJD), diagnosed Dec 2024

AA: Applied/applying

Council tax: Exempt

Driving: Advised to inform

Blue badge: Declined to apply

Health & wellbeing LPA: Applied/applying

Property & finance LPA: Declined to apply

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Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Alma O'Kon (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.

Alma O'Kon DOX1407 OPAS 2086 PWD

Safeguarding Concern Form About the concern

Alma O'Kon
DOX1407 OPAS 2086 PWD

Safeguarding Concern Form

About the concern