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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 #21 for Virgie (Ivelisse) Sipes
Triage

Referral received at 2:24pm on Sat 10th May, 2025
Person with Dementia
MX Virgie (Ivelisse) Sipes 85yrs Female
086119556598 / 04121 937166 virgie_sipes@example.com 398 Beula Common, Suite 817, Lake Gladystad, UU6 8JG
Preferred contact times: morning
Optio labore nisi voluptatibus magnam.
DOB
12/5/1940
NHS
6019480240
GP
Yost Run Practice
Ethnic group
Prefer not to say
Diagnosis
Referral made to memory clinic: No (Appointment date: 23/1/2025)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: George Brown
21/3/2023
Sensory impairment: Quibusdam nihil aliquid mollitia temporibus porro.
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
Junko Champlin Cum neque aperiam nisi sint laborum.
0868442640 / 0272166329 junko_champlin@example.com
Referral source
AUKO GG

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