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Received Ref Name Stage
26 days ago #31 Jerry Jakubowski Triage View
26 days ago #78 Rory Mayert Triage View
26 days ago #17 Clinton Weimann Triage View
26 days ago #68 Burton McClure Triage View
27 days ago #1 Kevin Dibbert Triage View
27 days ago #42 Sau Hintz Triage View
27 days ago #98 Jamey Jacobs Triage View
27 days ago #8 Shad Bradtke Triage View
27 days ago #81 August Schiller Triage View
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27 days ago #76 Sherice Wilkinson Triage View
27 days ago #77 Joe Goodwin Triage View
27 days ago #48 Moshe Miller Triage View
27 days ago #58 Carlton Lynch Triage View
27 days ago #38 Ivan Mertz Triage View
28 days ago #63 Tyron Krajcik Triage View
28 days ago #95 Salvatore Ortiz Triage View
28 days ago #64 Benedict Kunde Triage View
28 days ago #84 Avery Emard Triage View
28 days ago #96 Marvin Gaylord Triage View

Process referral #11 for Lupita Russel
Triage

Referral received at 1:56pm on Mon 12th May, 2025
Person with Dementia
MISS Lupita Russel 74yrs Female
04711 788297 / 069585949988 lupita_russel@example.com 9950 Hoeger Circles, Suite 416, Lefflerborough, DP4 5RO
Preferred contact times: morning
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DOB
6/5/1951
NHS
4312505934
GP
Marquardt Lake Practice
Ethnic group
Any other Asian background
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 6/6/2024)
Primary Progressive Aphasia (PPA)
Diagnosing clinician: Lionel Nikolaus
9/10/2024
Sensory impairment: Provident tenetur possimus iste aspernatur cupiditate sit.
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 Adam (Charles) Haag Husband
07836 976187 / 0940439156 adam_haag@example.com 2180 Tony Grove, Apt. 643, Lake Langview, LE1 7IP
Referrer
Ela Towne Quod officiis a accusamus quidem totam.
053743045749 / 0446621660 ela_towne@example.com
Referral source
AUKO DOX

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