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Referrals

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Received Ref Name Stage
18 days ago #142 Dean Williamson Triage View
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Process referral #163 for Dino Schultz
Triage

Referral received at 7:55pm on Fri 11th Apr, 2025
Person with Dementia
PROFESSOR Dino Schultz 79yrs Male lives alone
0744433099 / 08600 842088 dino_schultz@example.com 737 Barbara Circles, Suite 591, New Teneshaberg, BO65 7LR
Preferred contact times: any
Eos illum corporis rem hic alias.
DOB
16/4/1946
NHS
4201957055
GP
Mayert Orchard Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: No (Appointment date: 10/10/2024)
Creutzfeld-Jakob disease (CJD)
Diagnosing clinician: Jestine Johnson
24/3/2025
Sensory impairment: Dicta expedita minus itaque repudiandae.
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 Kent (Winford) Fay Nephew
039410620884 / 0538187939 kent_fay@example.com 78794 Dach Highway, Suite 751, South Aideville, RK1 0IW
Referrer
Lilian Davis Asperiores doloribus ab dolores fugit odio voluptatum commodi.
0773203906 / 0844601278 lilian_davis@example.com
Referral source
AUKO GG

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