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Received Ref Name Stage
about 1 month ago #26 Dee Leannon Triage View
about 1 month ago #85 Kiley Quitzon Triage View
about 1 month ago #28 Monica Brekke Triage View
about 1 month ago #15 Logan Beer Triage View
about 1 month ago #59 Errol Gleason Triage View
about 1 month ago #97 Oren Wisoky Triage View
about 1 month ago #11 Lupita Russel Triage View
about 1 month ago #88 Veronique Gleichner Triage View
about 1 month ago #7 Elizabet O'Keefe Triage View
about 1 month ago #6 Phil Langworth Triage View
about 1 month ago #45 Keneth Schoen Triage View
about 1 month ago #65 Man Hammes Triage View
about 1 month ago #46 Helene Stoltenberg Triage View
about 1 month ago #72 Waldo Lockman Triage View
about 1 month ago #94 Bess Bashirian Triage View
about 1 month ago #10 Winter Cartwright Triage View
about 1 month ago #89 Blanca Gutkowski Triage View
about 1 month ago #53 Grace Goyette Triage View
about 1 month ago #9 Nelda Labadie Triage View
about 1 month ago #5 Anton Schowalter Triage View

Process referral #19 for Tara Hintz
Triage

Referral received at 8:53am on Sat 10th May, 2025
Person with Dementia
MX Tara Hintz 70yrs Female lives alone
04087 635015 / 04348 399973 tara_hintz@example.com 90889 Crooks Island, Suite 439, Ethashire, YN3 1VG
Preferred contact times: afternoon
Eveniet nesciunt dolorem fugiat cumque laborum.
DOB
29/1/1955
NHS
1946614181
GP
Eda Freeway Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 26/1/2025)
Creutzfeld-Jakob disease (CJD)
Diagnosing clinician: Adeline Franecki
23/8/2023
Sensory impairment: Placeat cumque magni dolor numquam magnam at earum corporis.
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
DR Verla (Gala) Ebert Daughter
07144 894222 / 0915331959 verla_ebert@example.com 2852 Jarrett Extensions, Suite 870, Kennaview, SQ0 7MG
Referrer
Yolonda Harber Facere molestias minima sint a fugit excepturi quisquam.
05279 225449 / 04606 287047 yolonda_harber@example.com
Referral source
Community Nursing

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