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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 #84 for Avery Emard
Triage

Referral received at 10:05pm on Fri 16th May, 2025
Person with Dementia
MR Avery Emard 88yrs Male
0899220340 / 0707166306 avery_emard@example.com 72255 Muller Forges, Apt. 995, North Owentown, WL9 0LT
Preferred contact times: afternoon
Eum nam inventore nemo omnis mollitia rem quis.
DOB
11/12/1936
NHS
1008135887
GP
Leo Burg Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 7/10/2024)
Huntingdon's disease
Diagnosing clinician: Stefani O'Reilly
17/5/2025
Sensory impairment: Veritatis dolor expedita ratione placeat.
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
MRS Clarinda Hegmann Partner
07118 788416 / 041124375653 clarinda_hegmann@example.com 57046 Breitenberg Views, Suite 284, East Andra, PJ42 7DS
Referrer
Lacey Langworth Est omnis numquam impedit repellendus mollitia perferendis.
08083 469782 / 054823878955 lacey_langworth@example.com
Referral source
CMHT

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