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82 yrs (12/10/1942)
0996751036 / 07642 834128
hollis_murray@example.com
NHS Number: 0270568085
Lives alone
Demographics missing
Corticobasal Degeneration (CBD), diagnosed Feb 2025
AA: Advised to apply
Council tax: Declined - No discount
Driving: Advised to inform
Blue badge: Advised to apply
Health & wellbeing LPA: Not discussed
Property & finance LPA: Not got capacity
Cared for
Ivory Mosciski (husband)
DOX1442
OPAS 2121
71 yrs (13/7/1953)
06774 942427 / 07679 892582
Cared for
Randell Swaniawski (partner)
DOX1443
OPAS 2122
90 yrs (11/11/1934)
06844 952797 / 03734 187202
File Case Uploaded

Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Hollis Murray (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