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Referrals

External referral form
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Received Ref Name Stage
21 days ago #232 Launa Parker Triage View
21 days ago #220 Tony Morissette Triage View
21 days ago #219 Delana Olson Triage View
21 days ago #211 Bennie Braun Triage View
21 days ago #218 Lean Franecki Triage View
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23 days ago #228 Garret Boyle Triage View
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Process referral #185 for Dewayne (Wiley) Aufderhar
Triage

Referral received at 1:21pm on Thu 10th Apr, 2025
Person with Dementia
MR Dewayne (Wiley) Aufderhar 86yrs Male
024411856391 / 090092965097 dewayne_aufderhar@example.com 2524 Zieme Valley, Apt. 811, Port Annabell, RC32 0EG
Preferred contact times: morning
Hic quod ut quas debitis.
DOB
3/1/1939
NHS
7211073098
GP
Anastacia Mall Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: No (Appointment date: 6/6/2024)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Edith Smith
18/6/2024
Sensory impairment: Repudiandae officiis nam dolores est nobis.
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 Thurman (Donnell) Welch Son
08860 053562 / 08565 271299 thurman_welch@example.com 2924 Mikaela Greens, Suite 817, Wisozkstad, FF78 1MK
Referrer
Verdie Baumbach Mollitia magnam ratione odio assumenda.
0638627615 / 0371222244 verdie_baumbach@example.com
Referral source
Community Nursing

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