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Write your name hereThis is information aboutwww.dementia.je

This informaon is intended to assist care workers, family members, the police and partner agencies if a vulnerable person is reported missing.Please complete as much of the document as you can, do not worry if some of the secons do not apply to you.Please keep the informaon in a safe place where it can be accessed quickly at any me of the day should it be needed. It may be helpful to make several copies to give to carers or family members.When completed the form will contain personal informaon and should be kept safely to protect your privacy. However, sharing the informaon with professionals, including the police, in the event that you are reported missing will be very important in protecng you.About this Aid to Locate Booklet2Photo of the person named in this bookletPlease aach a photo here

Personal InformationNameI like to be calledDate of birthAgeHeight BuildHair colour Eye colour GlassesDistinguishing featuresAddressPost CodeHome TelephoneMobile Telephone3Photo of the person named in this booklet

Personal InformationYou will recognise me because:Communicating with me:I habitually wear a hatPlease speak slowlyI have a bad limpI don’t like to be touchedI am hard of hearingI have a medic alert braceletPlease speak clearlyI have a taoo (If so please state where and what).Any other useful informaon4YesYesNoNo

5If I get lost I have previously been located atIf I get lostThis leaflet has been completed with the assistance ofNameAddressPost CodeHome TelephoneMobile Telephone

My current partner’s nameAddress Post CodeContact numberMy previous partner/s nameAddress Post CodeContact numberMy current carer’s nameAddress Post CodeContact numberImportant people in my life6

My close family contact detailsMy close friends contact detailsNameTelNameTelNameTelNameTelNameTelNameTelNameTelNameTelImportant people in my life7

Medical needsMedical needs8I have the following diagnosed or suspected medical condionsIf I don’t take my medicaon or miss a dose it will aect me in the following waysI am currently taking the following medicaon

Medical needsMedical needs (Continued)9My current GP’s DetailsNameSurgeryContact numberMy mobilityMy mobilityI’m mobileI have a walking aidI can use stairsI need support to get aroundOtherIf other please explain:SomewhatYesYesYesYes Not so muchNoNoNo

10I used to live atAddressPost CodeI currently work atBusiness nameAddressPost CodeTelephoneI used to work atBusiness nameAddressPost CodeImportant places in my life

11I got married atChurch nameLocaonDateI used to go to school atSchool nameLocaonDate aendedFaith is important to me and I aendChurch nameLocaonImportant places in my life

12My vehicle isI like to spend me at the following placesIn the past I enjoyedMy interests(state hobbies i.e. previous interests, sports, or social clubs aended)

13Notes

14Working together withMASMASMemory Assessment Service

15Dementia Information Programme ((DIP))Dementia Jersey now provide a quarterly Dementia Informaon Programme which runs over 4 weeks with a choice of morning or evening sessions.DIP is a praccal and interacve training programme designed specically for family carers. This free programme aims to provide you with valuable informaon, advice, and ps on various subjects to help you beer support a person living with demena at home. DIP covers a range of topics, including:• Understanding demena and its progression• Eecve communicaon• Coping with behavioural changes• Creang a demena-friendly environment• Self-care and stress management for carers• Navigang legal and nancial maersLimited spaces are available, to book please Email: info@demena.je or Tel: 01534 723519www.dementia.jeScan this QR code for Scan this QR code for more informaon and more informaon and the next session dates the next session dates Free Free Training Training for Family for Family CarersCarers

With your help, we can ensure that people living with dementia connue to have the support they need.Together, we can help make Jersey a truly demena friendly island.For further informaon or to speak to one of our team Tel: 01534 723519 or Email: info@demena.jeWe provide emotional We provide emotional support including:support including:• Support and advice• Therapeuc acvies• Social groups for people with demena and carers• Educaonal programmes for the local communityWe’re a local charity We’re a local charity committed to supporting committed to supporting people with dementia and people with dementia and the family and friends caring for themthe family and friends caring for themFind, Like and Share us onwww.dementia.jeDementia Dementia advice and advice and supportsupportJersey Charies Commission number 42 • Patron Dr Karen Kyd