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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
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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
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28 days ago #84 Avery Emard Triage View
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Process referral #5 for Anton Schowalter
Triage

Referral received at 3:41pm on Sat 10th May, 2025
Person with Dementia
MR Anton Schowalter 83yrs Male
094789956192 / 0364817759 anton_schowalter@example.com 69662 Zita Falls, Suite 007, Lake Emelia, NJ4 1LP
Preferred contact times: any
Labore nihil placeat architecto est quibusdam quis hic commodi.
DOB
28/3/1942
NHS
5157001762
GP
Yost Run Practice
Ethnic group
Prefer not to say
Diagnosis
Referral made to memory clinic: No (Appointment date: 18/9/2024)
Corticobasal Degeneration (CBD)
Diagnosing clinician: Adria Kessler
19/11/2022
Sensory impairment: Nulla porro maxime sed tempora iusto.
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
MISS Felicidad Kilback Wife
0280023826 / 087921861632 felicidad_kilback@example.com 1757 Christiansen Haven, Suite 146, East Richelle, XN2 1MM
Referrer
Phyliss Murray Aperiam facilis eius culpa quia dolore commodi molestias.
02605 029372 / 0387620529 phyliss_murray@example.com
Referral source
Hospital

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