Logout

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Liza Bergnaum
DOX1985 DOX PWD

78 yrs (21/10/1947)
0672584478 / 081125605480
liza_bergnaum@example.com
NHS Number: 7882215198
Lives alone
Demographics missing
Primary Progressive Aphasia (PPA), diagnosed Jan 2023
AA: -
Council tax: -
Driving: -
Blue badge: -
Health & wellbeing LPA: -
Property & finance LPA: -
Carer
DOX1986
097247430352 / 085796560209
Activity

Referral #225
Triage

Referred by Bula Mraz
28th Aug
View

Referral for Liza Bergnaum

#225

Referral received at 1:22pm on Thu 28th Aug, 2025
Person with Dementia
MX Liza Bergnaum 78yrs Female lives alone
0672584478 / 081125605480 liza_bergnaum@example.com 568 Mills Causeway, Suite 584, South Houston, QL7 9MN
Preferred contact times: any
Praesentium fuga quae aliquam quia ut blanditiis labore.
DOB
21/10/1947
NHS
7882215198
GP
Mitchell Port Practice
Ethnic group
White and Black African
Diagnosis
Referral made to memory clinic: No (Appointment date: 26/10/2024)
Primary Progressive Aphasia (PPA) 15/1/2023
Sensory impairment: Commodi quas laboriosam distinctio sunt atque animi illo.
Referral reason
Social activities / isolation
Physical / mobility
Financial / allowances & benefits
Legal / LPA & Wills
Safety in the home
Dementia information
Support for carer / respite
Personal care
Insight
Cognitive ability
Health & wellbeing
Planning for the future
Assistive technology
Aide-memoire
Support for Memory Clinic appointment
Other
Additional notes
This is some text written by the referrer about the pwd's situation.
Carer
DR Archie Schowalter Nephew
097247430352 / 085796560209 archie_schowalter@example.com 05266 Jae Garden, Suite 405, Lake Elidatown, GC73 4DQ
Referrer
Bula Mraz Harum amet aut dolor earum nostrum.
0968200991 / 060562415888 bula_mraz@example.com
Referral source
AUKO GG