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Referrals

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2 months ago #206 Denyse Zemlak Triage View
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Process referral #220 for Georgia Balistreri
Triage

Referral received at 1:59pm on Tue 19th Aug, 2025
Person with Dementia
MX Georgia Balistreri 69yrs Female
0698208432 / 084840801053 georgia_balistreri@example.com 07774 Nelida Glen, Apt. 595, Port Irmgard, IF98 8HQ
Preferred contact times: afternoon
Doloribus tempore iusto necessitatibus cumque fuga quasi temporibus.
DOB
18/1/1956
NHS
5757379030
GP
Mayert Stravenue Practice
Ethnic group
Chinese
Diagnosis
Referral made to memory clinic: No (Appointment date: 13/6/2025)
HIV and AIDS related dementia
Diagnosing clinician: Penny Stroman
11/9/2022
Sensory impairment: Maxime iure nemo atque dolores eum delectus.
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 Keith Little Partner
06395 180730 / 061665988760 keith_little@example.com 7881 Stephaine Route, Apt. 230, New Taren, OS11 1OO
Referrer
Ranae Lockman Ab libero commodi provident ipsum tempora beatae tempore.
05487 882383 / 03682 684944 ranae_lockman@example.com
Referral source
Social Services

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