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Referrals

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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
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18 days ago #161 Russ Rice Triage View
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Process referral #167 for Natisha Koch
Triage

Referral received at 12:47am on Sat 12th Apr, 2025
Person with Dementia
MS Natisha Koch 92yrs Female
08801 555746 / 065543538409 natisha_koch@example.com 0674 Gottlieb Unions, Apt. 544, New Joesph, CB60 0ZQ
Preferred contact times: afternoon
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DOB
4/2/1933
NHS
6605632486
GP
Sharice Trafficway Practice
Ethnic group
African
Diagnosis
Referral made to memory clinic: No (Appointment date: 30/1/2025)
Mixed Lewy Body and Alzheimer's
Diagnosing clinician: Nicolle O'Connell
4/11/2022
Sensory impairment: Ipsa voluptatibus dolorem quibusdam quis quas ipsam inventore.
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
MRS Joycelyn (Mika) Johns Daughter
04349 381061 / 0796942813 joycelyn_johns@example.com 813 Iva Green, Suite 374, Rafaelhaven, AU01 4QG
Referrer
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069304275702 / 0795353782 denna_rath@example.com
Referral source
Memory Clinic

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