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Process referral #195 for Celina Schmidt
Triage

Referral received at 11:44am on Fri 11th Apr, 2025
Person with Dementia
MS Celina Schmidt 90yrs Female lives alone
089847676055 / 046502641595 celina_schmidt@example.com 912 Leffler Highway, Apt. 821, Lake Delinda, XM8 8IS
Preferred contact times: afternoon
Animi asperiores incidunt praesentium blanditiis.
DOB
2/1/1935
NHS
4583913761
GP
Kunze Fork Practice
Ethnic group
English, Welsh, Scottish, Northern Irish or British
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 31/1/2025)
Dementia (origin non-specific)
Diagnosing clinician: Adrian Hudson
15/5/2022
Sensory impairment: Quisquam corrupti similique enim id dolor expedita vel aliquam.
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 Forrest Morar Nephew
0555772198 / 07972 159754 forrest_morar@example.com 5319 Jan Track, Apt. 319, Kristiemouth, RT0 7LY
Referrer
Gidget Ebert Nam vero provident saepe eligendi.
0694165555 / 020049648291 gidget_ebert@example.com
Referral source
AUKO reception/helpline

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