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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 #6 for Phil Langworth
Triage

Referral received at 3:30am on Mon 12th May, 2025
Person with Dementia
DR Phil Langworth 89yrs Male lives alone
029915942420 / 061836471178 phil_langworth@example.com 00756 Louann Trace, Apt. 900, Hiramberg, OB2 7SW
Preferred contact times: morning
Harum assumenda quibusdam totam sint alias ipsam quaerat.
DOB
21/8/1935
NHS
0560215002
GP
Wiegand Gardens Practice
Ethnic group
Irish
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 16/1/2025)
HIV and AIDS related dementia
Diagnosing clinician: Sheilah Metz
7/1/2024
Sensory impairment: Eius dolores corrupti assumenda dicta eveniet doloribus.
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 Stefan Quigley Son
0503921688 / 080448158395 stefan_quigley@example.com 703 Fritsch Haven, Apt. 818, West Sybilside, KA20 0MP
Referrer
Madeline Eichmann Quod optio rerum distinctio praesentium labore esse delectus libero.
048790719916 / 030860715415 madeline_eichmann@example.com
Referral source
Hospital

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