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Referrals

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15 days ago #179 Lashaunda Lowe Triage View
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Process referral #170 for Alfred (Sherwood) Kovacek
Triage

Referral received at 2:52pm on Wed 2nd Apr, 2025
Person with Dementia
MR Alfred (Sherwood) Kovacek 87yrs Male
0320921059 / 0663684462 alfred_kovacek@example.com 8606 Ellie Cliffs, Suite 652, New Norenechester, IV32 8VY
Preferred contact times: afternoon
Dicta autem iusto soluta debitis.
DOB
4/8/1937
NHS
9293871955
GP
Sidney Grove Practice
Ethnic group
Prefer not to say
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 21/12/2024)
Posterior Cortical Atrophy (PCA)
Diagnosing clinician: Omar Shields
25/12/2024
Sensory impairment: Neque velit tempore sint maxime autem sit excepturi.
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
MR Timothy Russel Son
086164237716 / 09897 940371 timothy_russel@example.com 31868 Dooley Lane, Apt. 282, East Scott, HG2 8SI
Referrer
Gudrun Price Vel dolorum quis tempore impedit.
0432210436 / 0358781569 gudrun_price@example.com
Referral source
Self Referral

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