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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 #6 for Phil Langworth
Triage

Referral received at 3:30am on Mon 12th May, 2025
Person with Dementia
DR Phil Langworth 89yrs Male lives alone
029915942420 / 061836471178 phil_langworth@example.com 00756 Louann Trace, Apt. 900, Hiramberg, OB2 7SW
Preferred contact times: morning
Harum assumenda quibusdam totam sint alias ipsam quaerat.
DOB
21/8/1935
NHS
0560215002
GP
Wiegand Gardens Practice
Ethnic group
Irish
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 16/1/2025)
HIV and AIDS related dementia
Diagnosing clinician: Sheilah Metz
7/1/2024
Sensory impairment: Eius dolores corrupti assumenda dicta eveniet doloribus.
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 Stefan Quigley Son
0503921688 / 080448158395 stefan_quigley@example.com 703 Fritsch Haven, Apt. 818, West Sybilside, KA20 0MP
Referrer
Madeline Eichmann Quod optio rerum distinctio praesentium labore esse delectus libero.
048790719916 / 030860715415 madeline_eichmann@example.com
Referral source
Hospital

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