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Jefferson Wiegand
DOX1647 OPAS 2326 PWD

86 yrs (11/9/1938)
0450110080 / 0812792917
jefferson_wiegand@example.com
NHS Number: 6071177839
Demographics missing
Multiple Scelosis (MS) dementia, diagnosed Sep 2024
AA: Applied/applying
Council tax: Not discussed
Driving: Not driving
Blue badge: Granted
Health & wellbeing LPA: In place
Property & finance LPA: Alternative in place
Cared for
Alec Yost (father-in-law)
DOX1648
OPAS 2327
73 yrs (26/8/1951)
0446343670 / 03805 860165
Health LPA
Cared for
Edmond Funk (brother)
DOX1649
OPAS 2328
72 yrs (11/4/1953)
0789738756 / 0782777614
Health LPA Finance LPA
Cared for
Rufus Gerhold (friend)
DOX1650
OPAS 2329
81 yrs (25/4/1944)
041138852919 / 08846 770558
Finance LPA

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Jefferson Wiegand (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