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Received Ref Name Stage
about 1 month ago #12 Alla DuBuque Triage View
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about 1 month ago #86 Abigail Hettinger Triage View

Process referral #28 for Monica Brekke
Triage

Referral received at 11:30pm on Mon 12th May, 2025
Person with Dementia
PROFESSOR Monica Brekke 92yrs Female
02333 544261 / 057219017282 monica_brekke@example.com 72021 Danika Shoals, Apt. 351, Violetaside, NE4 8FR
Preferred contact times: morning
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DOB
1/7/1932
NHS
1839011548
GP
Ankunding Ville Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: No (Appointment date: 6/11/2024)
Dementia (origin non-specific)
Diagnosing clinician: Debera Kling
26/5/2023
Sensory impairment: Incidunt explicabo adipisci ipsum repellendus ex harum temporibus.
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 Isobel (Mitsuko) Walter Friend
0278144402 / 0529533798 isobel_walter@example.com 2158 Gutmann Drive, Suite 641, Andersonton, LR0 5VW
Referrer
Ellena Marvin Voluptatibus doloribus aut rem possimus laborum fuga ducimus officia.
062211329330 / 0797775640 ellena_marvin@example.com
Referral source
Community Nursing

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