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Received Ref Name Stage
2 months ago #90 Josie Kihn Triage View
2 months ago #80 Errol Roberts Triage View
2 months ago #54 Ethelyn Nicolas Triage View
2 months ago #79 Leslie Wunsch Triage View
2 months ago #27 Rose Cartwright Triage View
2 months ago #83 Barry Homenick Triage View
2 months ago #61 Trudie Toy Triage View
2 months ago #92 Reyna Nienow Triage View
2 months ago #24 Delorse Kilback Triage View
3 months ago #44 Darron Von Triage View
3 months ago #16 Elenore Robel Triage View
3 months ago #43 Jared King Triage View
3 months ago #14 Francisco Leannon Triage View
3 months ago #20 Rigoberto Padberg Triage View
3 months ago #35 Sharice Lebsack Triage View
3 months ago #93 Renita Murphy Triage View
3 months ago #30 Deshawn Corkery Triage View
3 months ago #67 Linh Thiel Triage View
3 months ago #32 Lemuel Abernathy Triage View
3 months ago #26 Dee Leannon Triage View

Process referral #38 for Ivan Mertz
Triage

Referral received at 6:32am on Sat 17th May, 2025
Person with Dementia
MR Ivan Mertz 75yrs Male
0505972536 / 09278 243918 ivan_mertz@example.com 432 Stiedemann Route, Suite 999, Jestinestad, UX42 6GI
Preferred contact times: afternoon
A accusamus laboriosam earum cum omnis sunt.
DOB
8/1/1950
NHS
1640054472
GP
Leo Burg Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 11/7/2024)
Parkinson's disease dementia (PDD)
Diagnosing clinician: Ebony Mohr
29/10/2023
Sensory impairment: Nesciunt earum voluptatibus ipsum dolorum assumenda.
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
PROFESSOR Krissy Pouros Daughter
06000 392909 / 03865 605212 krissy_pouros@example.com 6414 Carolyn Gardens, Apt. 150, Barrowstown, QI9 0RR
Referrer
Mora Price Libero temporibus consectetur quae commodi assumenda.
08515 876253 / 0254441952 mora_price@example.com
Referral source
AUKO DOX

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