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2 months ago #206 Denyse Zemlak Triage View
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Process referral #174 for Shaunda Koss
Triage

Referral received at 9:41pm on Tue 26th Aug, 2025
Person with Dementia
DR Shaunda Koss 84yrs Female
0519530519 / 0755506761 shaunda_koss@example.com 285 Dakota Extension, Suite 210, West Hortensiamouth, KP8 3OX
Preferred contact times: afternoon
Illo quaerat fugiat recusandae ipsa mollitia non esse.
DOB
20/9/1941
NHS
7903196162
GP
Walsh Course Practice
Ethnic group
English, Welsh, Scottish, Northern Irish or British
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 9/7/2025)
Other: Sed dolorum odit libero perferendis culpa et maiores deserunt.
Diagnosing clinician: Curt Kutch
2/8/2023
Sensory impairment: Iste praesentium optio labore eaque dicta.
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 Rashad Smith Friend
0347014166 / 03875 461875 rashad_smith@example.com 774 Latanya Road, Apt. 766, Grahamstad, FM0 4OE
Referrer
Danille Lueilwitz Officia blanditiis soluta officiis quisquam libero.
04160 063628 / 055655270186 danille_lueilwitz@example.com
Referral source
Community Nursing

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