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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 #215 for Jaime Wiza
Triage

Referral received at 10:55am on Mon 7th Apr, 2025
Person with Dementia
MR Jaime Wiza 78yrs Male
0977488291 / 03913 002469 jaime_wiza@example.com 070 Rosamond Brook, Apt. 885, Lake Stefaniaburgh, DF5 5SR
Preferred contact times: morning
Quibusdam odit rerum distinctio esse dignissimos.
DOB
3/7/1946
NHS
4015603591
GP
Angelia Dam Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 1/12/2024)
Mixed Lewy Body and Alzheimer's
Diagnosing clinician: Chiquita Gibson
2/3/2023
Sensory impairment: Sunt ullam molestiae quis quam porro distinctio accusantium rem.
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
MRS Aleida Gutmann Civil partner
04085 903611 / 08653 617720 aleida_gutmann@example.com 44794 McLaughlin Passage, Suite 915, North Hassanland, GN5 3EE
Referrer
Bell Rodriguez Quaerat adipisci nisi velit laudantium fugiat molestiae incidunt accusamus.
02391 501263 / 0611200795 bell_rodriguez@example.com
Referral source
GP Practice

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