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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 #19 for Tara Hintz
Triage

Referral received at 8:53am on Sat 10th May, 2025
Person with Dementia
MX Tara Hintz 70yrs Female lives alone
04087 635015 / 04348 399973 tara_hintz@example.com 90889 Crooks Island, Suite 439, Ethashire, YN3 1VG
Preferred contact times: afternoon
Eveniet nesciunt dolorem fugiat cumque laborum.
DOB
29/1/1955
NHS
1946614181
GP
Eda Freeway Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 26/1/2025)
Creutzfeld-Jakob disease (CJD)
Diagnosing clinician: Adeline Franecki
23/8/2023
Sensory impairment: Placeat cumque magni dolor numquam magnam at earum corporis.
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
DR Verla (Gala) Ebert Daughter
07144 894222 / 0915331959 verla_ebert@example.com 2852 Jarrett Extensions, Suite 870, Kennaview, SQ0 7MG
Referrer
Yolonda Harber Facere molestias minima sint a fugit excepturi quisquam.
05279 225449 / 04606 287047 yolonda_harber@example.com
Referral source
Community Nursing

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