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Received Ref Name Stage
13 days ago #214 Cordell Ledner Triage View
13 days ago #210 Timmy VonRueden Triage View
13 days ago #206 Brant Cartwright Triage View
13 days ago #160 Calvin Pouros Triage View
13 days ago #184 Royal Mayer Triage View
13 days ago #169 Tamica Brown Triage View
14 days ago #164 Isiah Koch Triage View
14 days ago #231 Rubi Smith Triage View
14 days ago #196 Larry Walsh Triage View
14 days ago #180 Keven Wilderman Triage View
14 days ago #150 Velia Durgan Triage View
14 days ago #173 Asa Windler Triage View
14 days ago #223 Tamela Kreiger Triage View
15 days ago #207 Youlanda Lowe Triage View
15 days ago #227 Gil Bosco Triage View
15 days ago #134 Ella Bailey Triage View
15 days ago #167 Natisha Koch Triage View
15 days ago #183 Takako Maggio Triage View
15 days ago #133 Serena Kozey Triage View
15 days ago #172 Carson Brown Triage View

Process referral #152 for Annice Gerlach
Triage

Referral received at 6:59pm on Sat 5th Apr, 2025
Person with Dementia
MISS Annice Gerlach 81yrs Female
083629388602 / 04242 567342 annice_gerlach@example.com 5995 Littel Corner, Suite 465, Pierrechester, OF0 0TL
Preferred contact times: morning
Delectus iste minus laboriosam quaerat sapiente architecto nam.
DOB
28/9/1943
NHS
5089875251
GP
Kunze Fork Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: No (Appointment date: 10/12/2024)
Dementia with Lewy Bodies
Diagnosing clinician: Liliana Grady
3/7/2023
Sensory impairment: Culpa explicabo illum voluptatibus eius consequatur dolorem.
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
MISS Mitzi Gusikowski Stepdaughter
080275327253 / 03306 309567 mitzi_gusikowski@example.com 58267 Phuong Junctions, Suite 471, Kourtneyborough, JY96 6AT
Referrer
Sam Lindgren Animi quidem sed voluptas itaque magni dolor.
0601264051 / 04504 251499 sam_lindgren@example.com
Referral source
Memory Clinic

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