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Process referral #205 for Clarine Bernhard
Triage

Referral received at 8:43am on Thu 10th Apr, 2025
Person with Dementia
DR Clarine Bernhard 82yrs Female
023674974808 / 04311 681932 clarine_bernhard@example.com 59564 Abshire Port, Suite 092, West Bailey, ZI03 9TH
Preferred contact times: afternoon
Assumenda impedit iure alias inventore corrupti nemo praesentium nesciunt.
DOB
14/7/1942
NHS
7242901855
GP
Anya Forge Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: No (Appointment date: 29/9/2024)
Mixed Alzheimer's and vascular
Diagnosing clinician: Camie Hayes
22/1/2024
Sensory impairment: Excepturi harum ad id cumque in 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
PROFESSOR Jane Johns Partner
0806417033 / 039754928527 jane_johns@example.com 43355 Monserrate Court, Suite 829, Baumbachshire, KE6 9EH
Referrer
Santiago Nitzsche Inventore iure quis similique iste velit voluptatibus.
091683308120 / 0507682106 santiago_nitzsche@example.com
Referral source
Carers Oxfordshire

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