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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 #212 for Shawn (Blaine) Sipes
Triage

Referral received at 9:38pm on Sun 24th Aug, 2025
Person with Dementia
MR Shawn (Blaine) Sipes 85yrs Prefer not to say
054561804587 / 05812 874598 shawn_sipes@example.com 44416 Leila Union, Apt. 013, South Marhta, ST22 5HL
Preferred contact times: morning
Illum ut perspiciatis quibusdam dolore aliquid.
DOB
3/7/1940
NHS
3752270039
GP
Lynch Village Practice
Ethnic group
Any other Black, African or Caribbean background
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 4/12/2024)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Belinda Kiehn
18/5/2024
Sensory impairment: Facilis debitis voluptates rem explicabo suscipit excepturi aut deleniti.
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
Karren Russel Dolorum inventore odit aliquam at eaque eligendi.
09959 677774 / 078424804126 karren_russel@example.com
Referral source
Social Prescriber

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