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Received Ref Name Stage
about 1 month ago #26 Dee Leannon Triage View
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Process referral #98 for Benjamin (Jamey) Jacobs
Triage

Referral received at 2:22am on Sun 18th May, 2025
Person with Dementia
MR Benjamin (Jamey) Jacobs 71yrs Prefer not to say
098530260410 / 07900 350108 benjamin_jacobs@example.com 99717 Krajcik Crossing, Apt. 724, Lake Librada, KF3 9MR
Preferred contact times: morning
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DOB
1/8/1953
NHS
4112107323
GP
Yost Run Practice
Ethnic group
Prefer not to say
Diagnosis
Referral made to memory clinic: No (Appointment date: 24/2/2025)
Primary Progressive Aphasia (PPA)
Diagnosing clinician: Ellena Beier
13/9/2022
Sensory impairment: Voluptatibus accusamus pariatur temporibus dolorem commodi excepturi nobis.
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
Pearlie Koelpin Quia dolorum ab officiis ullam.
082863929136 / 030304126147 pearlie_koelpin@example.com
Referral source
Other

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