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Fife Multi-Agency Adult Protection Guidance - Home Page

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Appendix 6ADULT SUPPORT AND PROTECTION (SCOTLAND) ACT 2007Request to Access RecordsSection 10 of the Act permits council officers to obtain copies of health, financialor other records relating to an adult known or believed to be at risk.Name ofNameOrganisation/Individual Addressrequest is being made to:Name of <strong>Adult</strong>:Name:AddressDate of Birth: ……………………….Consent given: Yes No (please circle)Information RequiredIf yes, signature of <strong>Adult</strong>/Power ofAttorney/GuardianReason for RequestWho the information will beshared withHow long the informationwill be keptOnce the investigation is complete the records will be:ReturnedDestroyedRetained on File(please circle one)Signature of Council Officer:Tel No:Date:Signature of Team Manager:Tel No.Date:57

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