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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
21 days ago #174 Clemmie Shanahan Triage View
21 days ago #165 Eva Morar Triage View
21 days ago #152 Annice Gerlach Triage View
21 days ago #201 Noble Maggio Triage View
22 days ago #157 Bob Hane Triage View
22 days ago #204 Pauletta Friesen Triage View
22 days ago #176 Lawerence McClure Triage View
22 days ago #171 Lang Beer Triage View
22 days ago #212 Cayla Stanton Triage View
22 days ago #221 Myron Rempel Triage View
22 days ago #222 Oscar Kerluke Triage View
23 days ago #145 Sydney Stamm Triage View
23 days ago #147 Manuel Langosh Triage View
23 days ago #193 Soila Monahan Triage View
23 days ago #228 Garret Boyle Triage View
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Process referral #191 for Kent (Rod) Torphy
Triage

Referral received at 7:47pm on Thu 3rd Apr, 2025
Person with Dementia
DR Kent (Rod) Torphy 79yrs Male
032543872370 / 057379905506 kent_torphy@example.com 363 Rowe Pines, Suite 875, East Lavonport, WN6 8TC
Preferred contact times: any
Neque sed doloribus expedita est.
DOB
20/2/1946
NHS
2459988249
GP
Arletha Cove Practice
Ethnic group
Any other Black, African or Caribbean background
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 6/9/2024)
Progressive Supranuclear Palsy (PSP)
Diagnosing clinician: Danille Rowe
15/6/2023
Sensory impairment: Repellat excepturi non quidem accusamus rem quasi enim.
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 Russel Steuber Brother
06935 332275 / 08813 846115 russel_steuber@example.com 6103 Rosio Courts, Suite 003, Buddyberg, MW8 9MR
Referrer
Elaina Windler Vero dolor nemo ipsa fugit est reiciendis.
0631525093 / 081378143090 elaina_windler@example.com
Referral source
Hospital

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