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2 months ago #206 Denyse Zemlak Triage View
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Process referral #137 for Shad Jerde
Triage

Referral received at 5:59pm on Sat 16th Aug, 2025
Person with Dementia
MR Shad Jerde 88yrs Male lives alone
048931576564 / 0987259392 shad_jerde@example.com 01529 O'Reilly Mission, Suite 271, New Marisa, GJ6 9VH
Preferred contact times: any
Vitae quae vel ducimus ipsam fugiat corporis aperiam earum.
DOB
4/12/1936
NHS
1557287333
GP
Dillon Crescent Practice
Ethnic group
Irish
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 23/9/2024)
Dementia with Lewy Bodies
Diagnosing clinician: Eilene Jacobi
2/7/2025
Sensory impairment: Aliquid at adipisci vitae aspernatur.
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 Earl Kiehn Husband
08271 184222 / 02788 894647 earl_kiehn@example.com 49269 Frederica Valleys, Apt. 200, North Karlaland, OG8 0JU
Referrer
Jere Strosin A voluptatum odit iure ipsa officiis.
02314 440007 / 0849797811 jere_strosin@example.com
Referral source
AUKO DOX

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