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Terri Stokes
DOX1439 OPAS 2118 PWD

83 yrs (23/2/1942)

048354994104 / 0414713655

terri_stokes@example.com

NHS Number: 0189484519

Demographics missing

HIV and AIDS related dementia, diagnosed May 2024

AA: Declined to apply

Council tax: Applied/applying

Driving: Advised to inform

Blue badge: Advised to apply

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Declined to apply

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Cared for

Ahmad Treutel (partner)

DOX1440

OPAS 2119

77 yrs (14/5/1947)

06390 897732 / 04759 210255

Finance LPA

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Number	Completed at

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Terri Stokes (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.

Terri Stokes DOX1439 OPAS 2118 PWD

Safeguarding Concern Form About the concern

Terri Stokes
DOX1439 OPAS 2118 PWD

Safeguarding Concern Form

About the concern