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Received Ref Name Stage
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Process referral #144 for Alan Goyette
Triage

Referral received at 6:49am on Fri 11th Apr, 2025
Person with Dementia
MR Alan Goyette 89yrs Male
04941 360760 / 063943846200 alan_goyette@example.com 780 Lakeesha Shoal, Suite 775, East Tom, HU9 9XB
Preferred contact times: afternoon
Minus odit laborum illum modi iusto iste blanditiis.
DOB
18/10/1935
NHS
3546178130
GP
Angelia Dam Practice
Ethnic group
Gypsy or Irish Traveller
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 3/8/2024)
Alzheimer's disease
Diagnosing clinician: Vina Crona
17/9/2023
Sensory impairment: Repellat totam est eligendi dolor nihil exercitationem eos.
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
-
Referrer
Khalilah Hayes Velit qui sed quos culpa esse.
0880843833 / 04989 841967 khalilah_hayes@example.com
Referral source
Memory Clinic

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