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Process referral #133 for Mia (Serena) Kozey
Triage

Referral received at 11:41pm on Fri 11th Apr, 2025
Person with Dementia
MS Mia (Serena) Kozey 69yrs Female lives alone
061870191299 / 05412 529389 mia_kozey@example.com 65633 Freddy Place, Suite 298, Wilkinsonberg, AF1 8YV
Preferred contact times: any
Adipisci sed quaerat sint ratione officia.
DOB
16/8/1955
NHS
7449341425
GP
Trudie Hill Practice
Ethnic group
Any other Mixed or Multiple ethnic background
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 12/9/2024)
Alzheimer's disease
Diagnosing clinician: Paul Sporer
1/4/2023
Sensory impairment: Dignissimos fuga earum ipsa corrupti.
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 Garland Funk Professional carer
0946050441 / 056249196744 garland_funk@example.com 9430 Strosin Plaza, Suite 984, Klingberg, VJ37 0DF
Referrer
Michel Champlin Cumque saepe tenetur quis voluptatum consectetur.
031851524839 / 0219054176 michel_champlin@example.com
Referral source
AUKO CIN

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