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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
27 days ago #36 Fleta Beer Triage View
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 #19 for Tara Hintz
Triage

Referral received at 8:53am on Sat 10th May, 2025
Person with Dementia
MX Tara Hintz 70yrs Female lives alone
04087 635015 / 04348 399973 tara_hintz@example.com 90889 Crooks Island, Suite 439, Ethashire, YN3 1VG
Preferred contact times: afternoon
Eveniet nesciunt dolorem fugiat cumque laborum.
DOB
29/1/1955
NHS
1946614181
GP
Eda Freeway Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 26/1/2025)
Creutzfeld-Jakob disease (CJD)
Diagnosing clinician: Adeline Franecki
23/8/2023
Sensory impairment: Placeat cumque magni dolor numquam magnam at earum corporis.
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
DR Verla (Gala) Ebert Daughter
07144 894222 / 0915331959 verla_ebert@example.com 2852 Jarrett Extensions, Suite 870, Kennaview, SQ0 7MG
Referrer
Yolonda Harber Facere molestias minima sint a fugit excepturi quisquam.
05279 225449 / 04606 287047 yolonda_harber@example.com
Referral source
Community Nursing

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