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Process referral #151 for Ty Blanda
Triage

Referral received at 11:53pm on Thu 3rd Apr, 2025
Person with Dementia
DR Ty Blanda 88yrs Male lives alone
049652788909 / 0464157644 ty_blanda@example.com 1388 Leonie Drives, Apt. 521, Maraport, IM6 4AI
Preferred contact times: any
Nemo voluptas culpa sit suscipit cupiditate.
DOB
11/2/1937
NHS
2837825158
GP
Fredda Harbors Practice
Ethnic group
White and Black Caribbean
Diagnosis
Referral made to memory clinic: No (Appointment date: 8/7/2024)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Greg Feest
10/4/2023
Sensory impairment: Sit eius laborum illum ipsum quo veniam.
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 Porsche Adams Daughter
092840479107 / 02737 606604 porsche_adams@example.com 33080 Stracke Shoal, Apt. 119, Vertieburgh, DI55 2XD
Referrer
Brice Gulgowski Explicabo perferendis rem voluptatem ab facilis.
02580 045589 / 032256430438 brice_gulgowski@example.com
Referral source
Community Nursing

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