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Received Ref Name Stage
3 months ago #198 Kerri Jacobs Triage View
3 months ago #190 Alfreda Powlowski Triage View
3 months ago #188 Geoffrey Leffler Triage View
3 months ago #214 Fabian Stoltenberg Triage View
3 months ago #139 Hannelore Sporer Triage View
3 months ago #211 Jan Mraz Triage View
3 months ago #180 Reinaldo Kautzer Triage View
3 months ago #167 Adrianna Jerde Triage View
3 months ago #150 Alonso Treutel Triage View
3 months ago #231 Seth Ankunding Triage View
3 months ago #137 Shad Jerde Triage View
3 months ago #221 Norman Becker Triage View
3 months ago #151 Ester Lubowitz Triage View
3 months ago #148 Rey Lubowitz Triage View
3 months ago #140 Usha Marks Triage View
3 months ago #134 Lorie Larson Triage View
3 months ago #168 Diedre Beer Triage View
3 months ago #152 Shane Ledner Triage View

Process referral #202 for Janet Bergnaum
Triage

Referral received at 2:53pm on Tue 19th Aug, 2025
Person with Dementia
PROFESSOR Janet Bergnaum 67yrs Female
08500 467400 / 0858489424 janet_bergnaum@example.com 6780 Morissette Cape, Suite 184, Nancistad, OT3 8CZ
Preferred contact times: morning
Id ipsum maxime exercitationem deserunt aperiam quia tempora.
DOB
17/12/1957
NHS
2205124498
GP
Cythia Skyway Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 14/1/2025)
Other: Natus fugit neque beatae commodi totam reiciendis illo.
Diagnosing clinician: Gay Morar
4/11/2023
Sensory impairment: Deleniti culpa temporibus amet atque omnis.
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 Raleigh Stehr Professional carer
09421 030722 / 084176951817 raleigh_stehr@example.com 731 Ratke Ways, Suite 678, Port Aureastad, XK80 5OV
Referrer
Dan Kohler Facilis iste dicta voluptatum doloremque.
0883034488 / 03832 141841 dan_kohler@example.com
Referral source
Other NHS service

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