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Received Ref Name Stage
2 months ago #206 Denyse Zemlak Triage View
2 months ago #209 Jennette Willms Triage View
2 months ago #228 Francisco Ankunding Triage View
2 months ago #147 Henry Quitzon Triage View
2 months ago #204 Sam Ledner Triage View
2 months ago #159 Roderick Terry Triage View
2 months ago #136 Forrest Langworth Triage View
2 months ago #170 Porfirio Gutkowski Triage View
2 months ago #158 Humberto Fisher Triage View
2 months ago #203 Raul Barton Triage View
2 months ago #155 Sterling Schoen Triage View
2 months ago #165 Roger Runte Triage View
2 months ago #213 Chong Casper Triage View
2 months ago #141 Malik Treutel Triage View
2 months ago #212 Blaine Sipes Triage View
2 months ago #143 Shenita Dooley Triage View
2 months ago #218 Zola Gibson Triage View
2 months ago #189 Porsha Lind Triage View
2 months ago #226 Wilhelmina Emmerich Triage View
2 months ago #187 Hisako Christiansen Triage View
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Process referral #225 for Liza Bergnaum
Triage

Referral received at 1:22pm on Thu 28th Aug, 2025
Person with Dementia
MX Liza Bergnaum 78yrs Female lives alone
0672584478 / 081125605480 liza_bergnaum@example.com 568 Mills Causeway, Suite 584, South Houston, QL7 9MN
Preferred contact times: any
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DOB
21/10/1947
NHS
7882215198
GP
Mitchell Port Practice
Ethnic group
White and Black African
Diagnosis
Referral made to memory clinic: No (Appointment date: 26/10/2024)
Primary Progressive Aphasia (PPA)
Diagnosing clinician: Jenelle Greenholt
15/1/2023
Sensory impairment: Commodi quas laboriosam distinctio sunt atque animi illo.
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 Archie Schowalter Nephew
097247430352 / 085796560209 archie_schowalter@example.com 05266 Jae Garden, Suite 405, Lake Elidatown, GC73 4DQ
Referrer
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0968200991 / 060562415888 bula_mraz@example.com
Referral source
AUKO GG

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