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18 days ago #142 Dean Williamson Triage View
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Process referral #160 for Calvin Pouros
Triage

Referral received at 6:37pm on Sun 13th Apr, 2025
Person with Dementia
MR Calvin Pouros 84yrs Male
096408479767 / 0681552480 calvin_pouros@example.com 54102 Kenya Lakes, Apt. 560, Port Ethelynfort, YQ8 3BD
Preferred contact times: afternoon
Quasi commodi quae excepturi harum quidem adipisci mollitia incidunt.
DOB
7/7/1940
NHS
4291063741
GP
Darrel Club Practice
Ethnic group
Gypsy or Irish Traveller
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 7/1/2025)
Parkinson's disease dementia (PDD)
Diagnosing clinician: Roxann Shanahan
8/1/2025
Sensory impairment: Magni a facere blanditiis odit impedit eos ratione natus.
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 Royce Hermiston Brother
0577757139 / 041961266209 royce_hermiston@example.com 191 Noriko Glen, Suite 464, Ellanside, LI8 0UK
Referrer
Gisele Hintz Reiciendis ullam deleniti magnam mollitia libero odio.
09057 348985 / 0715200341 gisele_hintz@example.com
Referral source
Social Services

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