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Process referral #172 for Grant (Carson) Brown
Triage

Referral received at 11:04pm on Fri 11th Apr, 2025
Person with Dementia
MR Grant (Carson) Brown 94yrs Male
071824811087 / 0545569372 grant_brown@example.com 9846 Tonja Run, Suite 077, Stoltenbergmouth, ZX0 3HS
Preferred contact times: any
Incidunt nemo quas eaque illum soluta quae aliquam.
DOB
20/9/1930
NHS
0355600056
GP
Shawnta Land Practice
Ethnic group
White and Black African
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 11/11/2024)
Progressive Supranuclear Palsy (PSP)
Diagnosing clinician: Leoma Weissnat
9/11/2023
Sensory impairment: Nam atque fugit dolorum at.
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
MISS Delena (Kylee) Carter Daughter-in-law
04204 232486 / 05140 359331 delena_carter@example.com 13583 Barton Wall, Suite 716, Wisokyfort, NO3 5VG
Referrer
Alan Franecki Pariatur repellat cumque earum provident eligendi.
037495141971 / 040307896287 alan_franecki@example.com
Referral source
Community Club

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