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Referrals

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Received Ref Name Stage
15 days ago #179 Lashaunda Lowe Triage View
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15 days ago #230 Elden Weissnat Triage View
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Process referral #231 for Rubi Smith
Triage

Referral received at 10:03pm on Sat 12th Apr, 2025
Person with Dementia
MISS Rubi Smith 91yrs Female lives alone
03438 093983 / 088569092443 rubi_smith@example.com 810 Jodee Wells, Apt. 500, Lake Tiffiny, MR9 1ZC
Preferred contact times: morning
Perspiciatis unde ducimus illum laboriosam ad provident praesentium saepe.
DOB
2/4/1934
NHS
5369309507
GP
Mayert Orchard Practice
Ethnic group
Roma
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 24/4/2024)
Vascular dementia
Diagnosing clinician: Bridget Nicolas
22/12/2023
Sensory impairment: Culpa ducimus voluptates quasi architecto et ipsum delectus.
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 Theron Upton Civil partner
051670648483 / 07579 326912 theron_upton@example.com 530 Crist Mill, Apt. 838, South Lora, ZE9 6CI
Referrer
Dung Von Recusandae suscipit libero cumque ab animi vitae hic.
0884916637 / 097544436757 dung_von@example.com
Referral source
CMHT

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