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Received Ref Name Stage
23 days ago #189 Devin Ziemann Triage View
23 days ago #151 Ty Blanda Triage View
23 days ago #191 Rod Torphy Triage View
23 days ago #137 Ethel Reichert Triage View
24 days ago #139 Coy Christiansen Triage View
24 days ago #153 Osvaldo Wilkinson Triage View
24 days ago #224 Marco Dare Triage View
24 days ago #148 Maxwell Stehr Triage View
24 days ago #181 Maurice Leannon Triage View
24 days ago #178 Ruben Grady Triage View
24 days ago #136 Germaine Nader Triage View
24 days ago #170 Sherwood Kovacek Triage View
25 days ago #182 Leandra Satterfield Triage View
25 days ago #155 Lyndon Kulas Triage View
25 days ago #175 Lena Lesch Triage View
25 days ago #146 Duane Purdy Triage View
25 days ago #188 Felipe Wyman Triage View
26 days ago #143 Sebastian O'Conner Triage View
26 days ago #194 Francesco Kirlin Triage View
26 days ago #225 Ladawn Turcotte Triage View

Process referral #141 for Doretta West
Triage

Referral received at 5:33pm on Sun 6th Apr, 2025
Person with Dementia
MISS Doretta West 79yrs Female lives alone
062064937322 / 0268454742 doretta_west@example.com 33925 Zboncak Parkway, Suite 121, Lake Jonah, JF09 2WB
Preferred contact times: morning
Quisquam nihil praesentium vel dicta ex odio incidunt iste.
DOB
23/4/1946
NHS
1293067369
GP
Vivian Meadows Practice
Ethnic group
Bangladeshi
Diagnosis
Referral made to memory clinic: No (Appointment date: 16/1/2025)
Parkinson's disease dementia (PDD)
Diagnosing clinician: Mac Bashirian
2/11/2024
Sensory impairment: Itaque possimus similique veniam distinctio.
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 Leta (Yun) Kub Friend
069237024603 / 02611 858727 leta_kub@example.com 0329 Ashlee Pass, Apt. 795, Gusikowskifurt, BC40 6UD
Referrer
Ozella Smitham Id voluptate aliquid perferendis debitis tempora recusandae sequi.
03184 119716 / 02978 843756 ozella_smitham@example.com
Referral source
Memory Clinic (JR)

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