Logout

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Received Ref Name Stage
about 1 month ago #12 Alla DuBuque Triage View
about 1 month ago #21 Ivelisse Sipes Triage View
about 1 month ago #57 Michale Tremblay Triage View
about 1 month ago #19 Tara Hintz Triage View
about 1 month ago #25 Dimple Stroman Triage View
about 1 month ago #100 Milda Hills Triage View
about 1 month ago #22 Carter Bins Triage View
about 1 month ago #66 Santo Pacocha Triage View
about 1 month ago #39 Thad Weissnat Triage View
about 1 month ago #52 Mariano Kemmer Triage View
about 1 month ago #34 Richie Gaylord Triage View
about 1 month ago #41 Shasta Pouros Triage View
about 1 month ago #87 Toney Ernser Triage View
about 1 month ago #70 Shantelle Ebert Triage View
about 1 month ago #82 Hosea Dare Triage View
about 1 month ago #3 Willetta Boyer Triage View
about 1 month ago #33 Carolin Lockman Triage View
about 1 month ago #75 Rick Cummerata Triage View
about 1 month ago #86 Abigail Hettinger Triage View

Process referral #18 for Richie (Glenn) Brekke
Triage

Referral received at 10:48pm on Mon 19th May, 2025
Person with Dementia
PROFESSOR Richie (Glenn) Brekke 85yrs Male
096959887692 / 0559712403 richie_brekke@example.com 786 Vanda Spring, Suite 251, Cartwrightton, MS8 3OE
Preferred contact times: afternoon
Fugit exercitationem ipsum totam quaerat voluptatibus facilis omnis dignissimos.
DOB
26/2/1940
NHS
5945691178
GP
Abdul Groves Practice
Ethnic group
Gypsy or Irish Traveller
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 9/3/2025)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Sheron Hegmann
4/5/2024
Sensory impairment: Ullam vero distinctio sapiente illo.
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 Shella Walker Civil partner
090793308498 / 065404866331 shella_walker@example.com 791 Mayola Pine, Suite 391, New Rebeca, IE06 6VJ
Referrer
Karon Lueilwitz Ipsam fuga qui maiores exercitationem tenetur.
08833 301399 / 04378 636955 karon_lueilwitz@example.com
Referral source
AUKO DOX

*