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Received Ref Name Stage
3 months ago #85 Kiley Quitzon Triage View
3 months ago #28 Monica Brekke Triage View
3 months ago #15 Logan Beer Triage View
3 months ago #59 Errol Gleason Triage View
3 months ago #97 Oren Wisoky Triage View
3 months ago #11 Lupita Russel Triage View
3 months ago #88 Veronique Gleichner Triage View
3 months ago #7 Elizabet O'Keefe Triage View
3 months ago #6 Phil Langworth Triage View
3 months ago #45 Keneth Schoen Triage View
3 months ago #65 Man Hammes Triage View
3 months ago #46 Helene Stoltenberg Triage View
3 months ago #72 Waldo Lockman Triage View
3 months ago #94 Bess Bashirian Triage View
3 months ago #10 Winter Cartwright Triage View
3 months ago #89 Blanca Gutkowski Triage View
3 months ago #53 Grace Goyette Triage View
3 months ago #9 Nelda Labadie Triage View
3 months ago #5 Anton Schowalter Triage View
3 months ago #12 Alla DuBuque 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
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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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