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Safeguarding adults at risk - for professionals
Current
Page1
Page 1a - Ethnicity
Page 2 - Further details
Page 3 - alleged abuse
Page 4 - Referrer details
Complete
Know to the council
Contact details of the adult at risk
Title
Select...
Mr
Mrs
Miss
Ms
Mx
Dr
First name
Last name
Their date of birth
Their date of birth: Day
Their date of birth: Month
Their date of birth: Year
For example 08/02/1982
If you don’t know the person’s date of birth, please select from the options below.
18-64
Over 65
Contact telephone number
CareFirst / other ID number
Vulnerability category
Vulnerability category
Please select...
Hearing impairment
Visual impairment
Dual sensory loss
Physical disability
Learning disability
Autism
Aspergers
Alcohol/Drug misuse issues
Frailty and/or Temporary illness
Mental health
Mental health dementia
Terminal illness
Asylum seeker
HIV
If 'Other' detail below
Enter other…
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