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91 yrs (12/2/1934)
09085 638368 / 033564787541
gerardo_mohr@example.com
NHS Number: 1197125523
Demographics missing
Dementia with Lewy Bodies, diagnosed Sep 2024
AA: Not yet eligible
Council tax: Advised to apply
Driving: Informing
Blue badge: Applied/applying
Health & wellbeing LPA: Applied/applying
Property & finance LPA: Alternative in place
Activity

DA Case #DC513
Red

Referred to Talking Newspaper
Referred

Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Gerardo Mohr (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