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Received Ref Name Stage
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Process referral #202 for Doyle Langworth
Triage

Referral received at 5:11pm on Fri 11th Apr, 2025
Person with Dementia
MR Doyle Langworth 79yrs Male
089211027699 / 048950967452 doyle_langworth@example.com 880 Kris Cove, Apt. 189, Beckytown, VM4 2QB
Preferred contact times: afternoon
Tempore natus sequi dolorem a eius iusto repellat soluta.
DOB
3/8/1945
NHS
8398250666
GP
Tifany Well Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: No (Appointment date: 16/9/2024)
Dementia (origin non-specific)
Diagnosing clinician: Teodoro Leffler
19/3/2025
Sensory impairment: Sed laudantium totam accusamus 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
Vergie Bechtelar Iure laudantium magnam fugiat temporibus eaque.
0417435057 / 0472108805 vergie_bechtelar@example.com
Referral source
AUKO DOX

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