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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
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14 days ago #196 Larry Walsh Triage View
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15 days ago #172 Carson Brown Triage View

Process referral #194 for Myles (Francesco) Kirlin
Triage

Referral received at 2:51am on Tue 1st Apr, 2025
Person with Dementia
MR Myles (Francesco) Kirlin 77yrs Male
05023 860098 / 055500467787 myles_kirlin@example.com 61925 McDermott Dam, Suite 675, New Song, EW6 6US
Preferred contact times: any
Quas expedita dicta error quos molestiae impedit deleniti.
DOB
19/5/1947
NHS
7262919105
GP
Fredda Harbors Practice
Ethnic group
Any other Asian background
Diagnosis
Referral made to memory clinic: No (Appointment date: 2/12/2024)
Mixed Alzheimer's and vascular
Diagnosing clinician: Shea Quigley
23/5/2022
Sensory impairment: Quae non sequi quam maxime cum debitis impedit.
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 Donn Carroll Partner
06606 761658 / 0270019541 donn_carroll@example.com 917 Blick Mall, Apt. 729, West Rebekahmouth, CC6 1KL
Referrer
Antonia Collier Eum molestias pariatur nulla quidem harum sit qui.
06238 489724 / 068476536153 antonia_collier@example.com
Referral source
CMHT

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