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Received Ref Name Stage
3 months ago #21 Ivelisse Sipes Triage View
3 months ago #57 Michale Tremblay Triage View
3 months ago #19 Tara Hintz Triage View
3 months ago #25 Dimple Stroman Triage View
3 months ago #100 Milda Hills Triage View
3 months ago #22 Carter Bins Triage View
3 months ago #66 Santo Pacocha Triage View
3 months ago #39 Thad Weissnat Triage View
3 months ago #52 Mariano Kemmer Triage View
3 months ago #34 Richie Gaylord Triage View
3 months ago #41 Shasta Pouros Triage View
3 months ago #87 Toney Ernser Triage View
3 months ago #70 Shantelle Ebert Triage View
3 months ago #82 Hosea Dare Triage View
3 months ago #3 Willetta Boyer Triage View
3 months ago #33 Carolin Lockman Triage View
3 months ago #75 Rick Cummerata Triage View
3 months ago #86 Abigail Hettinger Triage View

Process referral #38 for Ivan Mertz
Triage

Referral received at 6:32am on Sat 17th May, 2025
Person with Dementia
MR Ivan Mertz 75yrs Male
0505972536 / 09278 243918 ivan_mertz@example.com 432 Stiedemann Route, Suite 999, Jestinestad, UX42 6GI
Preferred contact times: afternoon
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DOB
8/1/1950
NHS
1640054472
GP
Leo Burg Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 11/7/2024)
Parkinson's disease dementia (PDD)
Diagnosing clinician: Ebony Mohr
29/10/2023
Sensory impairment: Nesciunt earum voluptatibus ipsum dolorum assumenda.
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 Krissy Pouros Daughter
06000 392909 / 03865 605212 krissy_pouros@example.com 6414 Carolyn Gardens, Apt. 150, Barrowstown, QI9 0RR
Referrer
Mora Price Libero temporibus consectetur quae commodi assumenda.
08515 876253 / 0254441952 mora_price@example.com
Referral source
AUKO DOX

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