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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
3 months ago #185 Hal Kuvalis Triage View
3 months ago #146 Brandee Kautzer Triage View
3 months ago #144 Dominick Smitham Triage View
3 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 #215 for Shamika (Melba) Quitzon
Triage

Referral received at 12:03pm on Wed 27th Aug, 2025
Person with Dementia
MX Shamika (Melba) Quitzon 73yrs Female lives alone
040809714283 / 04818 501226 shamika_quitzon@example.com 72004 Mueller Corners, Suite 003, Hellenton, FF6 8OC
Preferred contact times: any
Repellendus minima quaerat quasi eius doloremque sed eveniet.
DOB
26/12/1951
NHS
5146656126
GP
Mira Park Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 19/6/2025)
Huntingdon's disease
Diagnosing clinician: Josue Marquardt
16/1/2025
Sensory impairment: Esse officiis molestias sint illo vel dicta non.
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 Aldo (Terence) Gerhold Stepson
02521 889616 / 0228521104 aldo_gerhold@example.com 543 Collier Forge, Suite 116, Lake Vickeyburgh, RR5 0PI
Referrer
Tessie Hirthe Tenetur harum enim ut ipsa non sint tempore.
065609499203 / 0799900935 tessie_hirthe@example.com
Referral source
Community Nursing

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