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Christine Carter
DOX913 OPAS 1592 PWD

68 yrs (30/12/1956)

02252 107458 / 0615745905

dirk_douglas@example.com

NHS Number: 2422277535

Demographics missing

Mixed Alzheimer's and vascular

AA: Declined to apply

Council tax: Disregard granted

Driving: Informing

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Not discussed

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This profile has more than 1 open Admiral Nurse case.

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Christine Carter (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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Christine Carter DOX913 OPAS 1592 PWD

Safeguarding Concern Form About the concern

Christine Carter
DOX913 OPAS 1592 PWD

Safeguarding Concern Form

About the concern