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85 yrs (10/12/1939)
077938609284 / 04999 388060
joaquin_tillman@example.com Demographics missing
AA: Not discussed
Council tax: Disregard granted
Driving: Not discussed
Blue badge: Applied/applying
Health & wellbeing LPA: Not discussed
Property & finance LPA: Advice given

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Eleanor Abernathy (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