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Yadira Jerde
DOX1503 OPAS 2182 PWD

94 yrs (26/12/1930)

062116451774 / 06344 294930

yadira_jerde@example.com

NHS Number: 1229207724

Lives alone

Demographics missing

Primary Progressive Aphasia (PPA), diagnosed Apr 2024

AA: Application declined

Council tax: Waiting for AA

Driving: Not driving

Blue badge: Applied/applying

Health & wellbeing LPA: Advice given

Property & finance LPA: In place

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Cared for

Carter Dickens (friend)

DOX1504

OPAS 2183

89 yrs (22/2/1936)

0376691311 / 0938453379

Finance LPA

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Number	Completed at

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Yadira Jerde (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?

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Yadira Jerde DOX1503 OPAS 2182 PWD

Safeguarding Concern Form About the concern

Yadira Jerde
DOX1503 OPAS 2182 PWD

Safeguarding Concern Form

About the concern