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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 #170 for Alfred (Sherwood) Kovacek
Triage

Referral received at 2:52pm on Wed 2nd Apr, 2025
Person with Dementia
MR Alfred (Sherwood) Kovacek 87yrs Male
0320921059 / 0663684462 alfred_kovacek@example.com 8606 Ellie Cliffs, Suite 652, New Norenechester, IV32 8VY
Preferred contact times: afternoon
Dicta autem iusto soluta debitis.
DOB
4/8/1937
NHS
9293871955
GP
Sidney Grove Practice
Ethnic group
Prefer not to say
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 21/12/2024)
Posterior Cortical Atrophy (PCA)
Diagnosing clinician: Omar Shields
25/12/2024
Sensory impairment: Neque velit tempore sint maxime autem sit excepturi.
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 Timothy Russel Son
086164237716 / 09897 940371 timothy_russel@example.com 31868 Dooley Lane, Apt. 282, East Scott, HG2 8SI
Referrer
Gudrun Price Vel dolorum quis tempore impedit.
0432210436 / 0358781569 gudrun_price@example.com
Referral source
Self Referral

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