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Process referral #187 for Mitsue Crona
Triage

Referral received at 1:01pm on Wed 9th Apr, 2025
Person with Dementia
MISS Mitsue Crona 91yrs Female lives alone
0754557246 / 0881197481 mitsue_crona@example.com 015 Karey Drives, Apt. 249, East Paberg, AX0 3XF
Preferred contact times: any
Enim animi suscipit quo sunt.
DOB
23/5/1933
NHS
5502734609
GP
Evelin Terrace Practice
Ethnic group
Gypsy or Irish Traveller
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 18/9/2024)
Progressive Supranuclear Palsy (PSP)
Diagnosing clinician: Kimberly Douglas
13/12/2024
Sensory impairment: Alias ipsam laborum assumenda esse consequuntur dolorum.
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 Forrest Stokes Professional carer
046485142493 / 06495 705979 forrest_stokes@example.com 1817 Jerde Forks, Apt. 862, West Charleneshire, KP89 2HG
Referrer
Melissa Hettinger Perspiciatis reprehenderit laudantium quod error mollitia veritatis quos.
053543010442 / 06804 014456 melissa_hettinger@example.com
Referral source
Family or Friend

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