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Referrals

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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
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Process referral #212 for Shawn (Blaine) Sipes
Triage

Referral received at 9:38pm on Sun 24th Aug, 2025
Person with Dementia
MR Shawn (Blaine) Sipes 85yrs Prefer not to say
054561804587 / 05812 874598 shawn_sipes@example.com 44416 Leila Union, Apt. 013, South Marhta, ST22 5HL
Preferred contact times: morning
Illum ut perspiciatis quibusdam dolore aliquid.
DOB
3/7/1940
NHS
3752270039
GP
Lynch Village Practice
Ethnic group
Any other Black, African or Caribbean background
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 4/12/2024)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Belinda Kiehn
18/5/2024
Sensory impairment: Facilis debitis voluptates rem explicabo suscipit excepturi aut deleniti.
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
-
Referrer
Karren Russel Dolorum inventore odit aliquam at eaque eligendi.
09959 677774 / 078424804126 karren_russel@example.com
Referral source
Social Prescriber

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