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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 #218 for Katherin (Lean) Franecki
Triage

Referral received at 3:06am on Sun 6th Apr, 2025
Person with Dementia
MS Katherin (Lean) Franecki 79yrs Female
080111325509 / 0957927842 katherin_franecki@example.com 086 Bailey Isle, Suite 051, Oleviamouth, ZF26 4DQ
Preferred contact times: any
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DOB
24/8/1945
NHS
2662912685
GP
Evelin Terrace Practice
Ethnic group
English, Welsh, Scottish, Northern Irish or British
Diagnosis
Referral made to memory clinic: No (Appointment date: 13/10/2024)
Unknown
Diagnosing clinician: Marquis Carter
14/1/2024
Sensory impairment: Placeat quod officia nesciunt illo beatae possimus.
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
DR Julio (Heath) Hessel Son-in-law
02196 842680 / 0217201738 julio_hessel@example.com 38358 Kemmer Rapid, Apt. 302, Trompchester, PB40 2HG
Referrer
Darci Bogisich Deserunt vero voluptatibus dolor aut.
026791266926 / 046540999313 darci_bogisich@example.com
Referral source
AUKO GG

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