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Received Ref Name Stage
27 days ago #74 Haywood Oberbrunner Triage View
27 days ago #90 Josie Kihn Triage View
28 days ago #80 Errol Roberts Triage View
28 days ago #54 Ethelyn Nicolas Triage View
28 days ago #79 Leslie Wunsch Triage View
28 days ago #27 Rose Cartwright Triage View
29 days ago #83 Barry Homenick Triage View
29 days ago #61 Trudie Toy Triage View
29 days ago #92 Reyna Nienow Triage View
29 days ago #24 Delorse Kilback Triage View
29 days ago #44 Darron Von Triage View
30 days ago #16 Elenore Robel Triage View
30 days ago #43 Jared King Triage View
30 days ago #14 Francisco Leannon Triage View
30 days ago #20 Rigoberto Padberg Triage View
about 1 month ago #35 Sharice Lebsack Triage View
about 1 month ago #93 Renita Murphy Triage View
about 1 month ago #30 Deshawn Corkery Triage View
about 1 month ago #67 Linh Thiel Triage View
about 1 month ago #32 Lemuel Abernathy Triage View

Process referral #29 for Jeffery Kuvalis
Triage

Referral received at 1:30am on Wed 21st May, 2025
Person with Dementia
DR Jeffery Kuvalis 95yrs Male
048948909740 / 032925269978 jeffery_kuvalis@example.com 10837 Beahan Points, Apt. 910, Sherrilbury, PF50 2LF
Preferred contact times: any
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DOB
7/5/1930
NHS
1040086632
GP
Oga Pike Practice
Ethnic group
White and Black African
Diagnosis
Referral made to memory clinic: No (Appointment date: 15/3/2025)
Other mixed dementia
Diagnosing clinician: Annie Beatty
10/9/2022
Sensory impairment: Inventore sunt sed sit voluptate vero.
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 Max Hessel Grandson
083237541788 / 08263 222563 max_hessel@example.com 5323 Jonie Manor, Apt. 103, Klockomouth, UB5 1CL
Referrer
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0313704550 / 09530 797813 zoila_conroy@example.com
Referral source
CMHT

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