Front Sheet: Adult/Child Protection Record Date file started:
Information Field
Initial Result
Changed to
Changed to
Please leave blank
Please leave blank
Name of Adult/Child: Any other names by which the individual is known/has been known: Date of birth: Address: (including postcode)
Other family members: (include full name, relationship, if under 18 include age and school where known)
Name and contact number of key workers: (Include Adult Social Care and any other relevant professionals)
Name and contact number of GP if known:
Ethos Heritage CIC is committed to safeguarding and promoting the welfare of Adults and Children. We expect all staff and participants to share this commitment.
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