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Referrals

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Received Ref Name Stage
2 months ago #206 Denyse Zemlak Triage View
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Process referral #160 for Terry Mills
Triage

Referral received at 4:29am on Sat 23rd Aug, 2025
Person with Dementia
MR Terry Mills 86yrs Male
0967784149 / 065256048245 terry_mills@example.com 95697 Domitila Mission, Suite 323, New Charoletteton, MR05 2ZJ
Preferred contact times: afternoon
Tempore esse eveniet amet error.
DOB
3/11/1939
NHS
0600073246
GP
Terresa Knoll Practice
Ethnic group
White and Asian
Diagnosis
Referral made to memory clinic: No (Appointment date: 8/9/2024)
Corticobasal Degeneration (CBD)
Diagnosing clinician: Elijah Turcotte
21/7/2025
Sensory impairment: Id asperiores nam eius ipsa facere ducimus nisi.
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 Carlton (Santo) Hartmann Husband
0885742545 / 025230245615 carlton_hartmann@example.com 437 Boyer Field, Apt. 227, North Bernardinatown, IJ15 8TX
Referrer
Ethelyn Heaney Soluta id in ex neque.
046167467228 / 04730 986913 ethelyn_heaney@example.com
Referral source
AUKO I&A

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