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Referrals

External referral form
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Received Ref Name Stage
15 days ago #179 Lashaunda Lowe Triage View
15 days ago #163 Dino Schultz Triage View
15 days ago #158 Vivan Schneider Triage View
15 days ago #230 Elden Weissnat Triage View
15 days ago #202 Doyle Langworth Triage View
16 days ago #195 Celina Schmidt Triage View
16 days ago #200 Valarie Wisoky Triage View
16 days ago #209 Lucile Von Triage View
16 days ago #144 Alan Goyette Triage View
16 days ago #217 Audria Schuster Triage View
16 days ago #190 Hobert Crooks Triage View
16 days ago #213 Iesha Hammes Triage View
17 days ago #185 Wiley Aufderhar Triage View
17 days ago #168 Phillip Langworth Triage View
17 days ago #198 Trudy Robel Triage View
17 days ago #205 Clarine Bernhard Triage View
18 days ago #187 Mitsue Crona Triage View
18 days ago #161 Russ Rice Triage View
18 days ago #135 Jamal Murphy Triage View
18 days ago #192 Weston Corkery Triage View
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Process referral #143 for Sebastian O'Conner
Triage

Referral received at 6:19am on Tue 1st Apr, 2025
Person with Dementia
MR Sebastian O'Conner 93yrs Male
0778609946 / 08199 401642 sebastian_o'conner@example.com 331 Padberg Shore, Apt. 043, East Hermila, YZ28 3RQ
Preferred contact times: any
Odit voluptatibus explicabo quis est.
DOB
22/1/1932
NHS
7611236768
GP
Shawnta Land Practice
Ethnic group
African
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 14/8/2024)
Vascular dementia
Diagnosing clinician: Dinorah Bartoletti
9/11/2023
Sensory impairment: Excepturi quos eligendi in iure hic dolor.
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 Christi Huels Stepdaughter
0437849787 / 04571 678002 christi_huels@example.com 31592 Cassin River, Suite 606, Lake Floydbury, FK25 5PV
Referrer
Felipe Kihn Aliquid cum aut dicta ducimus autem molestiae explicabo.
0250192794 / 077394370047 felipe_kihn@example.com
Referral source
AUKO GG

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