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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 #21 for Virgie (Ivelisse) Sipes
Triage

Referral received at 2:24pm on Sat 10th May, 2025
Person with Dementia
MX Virgie (Ivelisse) Sipes 85yrs Female
086119556598 / 04121 937166 virgie_sipes@example.com 398 Beula Common, Suite 817, Lake Gladystad, UU6 8JG
Preferred contact times: morning
Optio labore nisi voluptatibus magnam.
DOB
12/5/1940
NHS
6019480240
GP
Yost Run Practice
Ethnic group
Prefer not to say
Diagnosis
Referral made to memory clinic: No (Appointment date: 23/1/2025)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: George Brown
21/3/2023
Sensory impairment: Quibusdam nihil aliquid mollitia temporibus porro.
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
Junko Champlin Cum neque aperiam nisi sint laborum.
0868442640 / 0272166329 junko_champlin@example.com
Referral source
AUKO GG

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