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87 yrs (7/1/1938)
093993919537 / 0549443736
thomas_koss@example.com
NHS Number: 7816248393
Demographics missing
Primary Progressive Aphasia (PPA), diagnosed Jun 2024
AA: Application declined
Council tax: Exempt
Driving: Informed and driving
Blue badge: Advised to apply
Health & wellbeing LPA: Declined to apply
Property & finance LPA: Not discussed

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Thomas Koss (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