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Received Ref Name Stage
2 months ago #219 Tracie Nader Triage View
2 months ago #181 Aleisha Rogahn Triage View
2 months ago #178 Patrick Dare Triage View
2 months ago #200 Nedra Tremblay Triage View
2 months ago #222 Viola Bayer Triage View
2 months ago #156 Rick Rath Triage View
2 months ago #153 Carroll Hettinger Triage View
2 months ago #154 Hermila Williamson Triage View
2 months ago #160 Terry Mills Triage View
2 months ago #227 Enoch Erdman Triage View
2 months ago #201 Micha Lind Triage View
2 months ago #162 Marci Mueller Triage View
2 months ago #185 Hal Kuvalis Triage View
2 months ago #146 Brandee Kautzer Triage View
2 months ago #144 Dominick Smitham Triage View
2 months ago #182 My Oga Triage View
3 months ago #210 Jamal Ullrich Triage View
3 months ago #175 Lemuel Strosin Triage View
3 months ago #229 Rafael Moore Triage View
3 months ago #193 Lamont Kunze Triage View

Process referral #202 for Janet Bergnaum
Triage

Referral received at 2:53pm on Tue 19th Aug, 2025
Person with Dementia
PROFESSOR Janet Bergnaum 67yrs Female
08500 467400 / 0858489424 janet_bergnaum@example.com 6780 Morissette Cape, Suite 184, Nancistad, OT3 8CZ
Preferred contact times: morning
Id ipsum maxime exercitationem deserunt aperiam quia tempora.
DOB
17/12/1957
NHS
2205124498
GP
Cythia Skyway Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 14/1/2025)
Other: Natus fugit neque beatae commodi totam reiciendis illo.
Diagnosing clinician: Gay Morar
4/11/2023
Sensory impairment: Deleniti culpa temporibus amet atque omnis.
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 Raleigh Stehr Professional carer
09421 030722 / 084176951817 raleigh_stehr@example.com 731 Ratke Ways, Suite 678, Port Aureastad, XK80 5OV
Referrer
Dan Kohler Facilis iste dicta voluptatum doloremque.
0883034488 / 03832 141841 dan_kohler@example.com
Referral source
Other NHS service

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