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Process referral #224 for Marco Dare
Triage

Referral received at 11:24am on Thu 3rd Apr, 2025
Person with Dementia
MR Marco Dare 71yrs Male lives alone
02345 366851 / 07927 726893 marco_dare@example.com 087 Zieme Harbor, Apt. 471, Tawannaview, TZ7 6WM
Preferred contact times: morning
Praesentium nobis asperiores tempore amet reiciendis explicabo voluptates mollitia.
DOB
17/6/1953
NHS
3400960136
GP
Erick Neck Practice
Ethnic group
African
Diagnosis
Referral made to memory clinic: No (Appointment date: 17/11/2024)
Other mixed dementia
Diagnosing clinician: Francine Altenwerth
25/8/2023
Sensory impairment: Excepturi tenetur non temporibus consequatur.
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 Kallie Barrows Granddaughter
0972387237 / 05704 204622 kallie_barrows@example.com 6912 Treutel Circles, Suite 787, Hirtheville, GE15 2RA
Referrer
Amal D'Amore Quos delectus ducimus a molestias minus.
07366 568464 / 07633 795189 amal_d'amore@example.com
Referral source
AUKO reception/helpline

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