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Received Ref Name Stage
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Process referral #31 for Domingo (Jerry) Jakubowski
Triage

Referral received at 2:14am on Mon 19th May, 2025
Person with Dementia
PROFESSOR Domingo (Jerry) Jakubowski 72yrs Male
03326 172104 / 097052680412 domingo_jakubowski@example.com 73831 Collins Shoals, Apt. 736, New Hongburgh, ZH06 6LX
Preferred contact times: afternoon
Enim numquam hic eius quaerat modi.
DOB
2/1/1953
NHS
7290860918
GP
Katharyn Green Practice
Ethnic group
Chinese
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 26/12/2024)
Mixed Lewy Body and Alzheimer's
Diagnosing clinician: Lakesha Ferry
10/8/2022
Sensory impairment: Recusandae veniam numquam sed assumenda sunt cum incidunt.
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 Jeanie Schaden Partner
078363914976 / 09330 031754 jeanie_schaden@example.com 31802 Ritchie Spur, Suite 263, Lake Michellemouth, ZB69 7UU
Referrer
Brenda Halvorson Hic voluptatibus nam quos consectetur a.
032075633932 / 04119 519668 brenda_halvorson@example.com
Referral source
AUKO I&A

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