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Santana Wuckert
DOX1546 OPAS 2225 PWD

73 yrs (7/8/1951)

0780698645 / 02780 275810

santana_wuckert@example.com

NHS Number: 2692972201

Lives alone

Demographics missing

Creutzfeld-Jakob disease (CJD), diagnosed Jan 2025

AA: Application declined

Council tax: Exempt

Driving: Not discussed

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Applied/applying

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File	Case	Uploaded

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Santana Wuckert (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.

Santana Wuckert DOX1546 OPAS 2225 PWD

Safeguarding Concern Form About the concern

Santana Wuckert
DOX1546 OPAS 2225 PWD

Safeguarding Concern Form

About the concern