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Safeguarding of Vulnerable Adults

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Part 1

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Part 1

Items marked mandatory must be completed

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Part 1 - Details of the adult at risk/vulnerable adult
Gender:
Gender:
:   (hours : minutes)
If you are raising this on behalf of someone, have you discussed the concern with them?
If you are raising this on behalf of someone, have you discussed the concern with them?
Please state whether the person has mental capacity to understand the concern being raised.
Please state whether the person has mental capacity to understand the concern being raised.
Primary Client Group
Does the person have care and support needs arising from (Please tick)
Other Vulnerable People e.g.
- Terminal/Palliative
- Unpaid Carer