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Referrals

External referral form
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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
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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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