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Madelene Nicolas
DOX1755 OPAS 2434

94 yrs (26/11/1930)

07276 290900 / 0567184114

madelene_nicolas@example.com

NHS Number: 1756213984

Demographics missing

AA: -

Council tax: -

Driving: -

Blue badge: -

Health & wellbeing LPA: -

Property & finance LPA: -

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Cases / Groups

No cases

Profile notes

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Timeline

Support line referral taken from Madelene Nicolas (Primary carer) about Karl Trantow DOX1756

Support line call received by Edmundo Stokes at 12.45pm on Sun 6th Apr

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6th Apr

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Madelene Nicolas (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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Madelene Nicolas DOX1755 OPAS 2434

Cases / Groups

Timeline

Safeguarding Concern Form About the concern

Madelene Nicolas
DOX1755 OPAS 2434

Safeguarding Concern Form

About the concern