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Referrals

External referral form
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Received Ref Name Stage
2 months ago #78 Rory Mayert Triage View
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Process referral #32 for Lemuel Abernathy
Triage

Referral received at 3:13am on Tue 13th May, 2025
Person with Dementia
MR Lemuel Abernathy 66yrs Male lives alone
0494971650 / 0356709649 lemuel_abernathy@example.com 3722 Ward Extensions, Apt. 824, Cathieborough, RV75 3CV
Preferred contact times: any
Odit odio vitae a cupiditate repellat explicabo nesciunt.
DOB
21/11/1958
NHS
4705261208
GP
Jennifer Greens Practice
Ethnic group
Unknown
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 13/2/2025)
Mild cognitive impairment
Diagnosing clinician: Michelina Sanford
14/5/2023
Sensory impairment: Exercitationem velit ipsam voluptatum dignissimos.
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 Teresita (Junie) Cremin Professional carer
04208 941926 / 0746057576 teresita_cremin@example.com 57710 Monica Heights, Suite 051, Lake Robbiefurt, CL26 1EZ
Referrer
Lorinda Witting Officia quibusdam labore laudantium eius laboriosam earum adipisci.
09329 546059 / 0422527968 lorinda_witting@example.com
Referral source
Hospital

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