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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 #59 for Terrell (Errol) Gleason
Triage

Referral received at 4:41pm on Mon 12th May, 2025
Person with Dementia
MR Terrell (Errol) Gleason 78yrs Prefer not to say
09576 903670 / 067787327223 terrell_gleason@example.com 06597 Florentino Track, Apt. 701, West Camillaville, CV6 0EU
Preferred contact times: afternoon
Natus voluptatem perspiciatis impedit explicabo est.
DOB
14/12/1946
NHS
6110861960
GP
Boyle Forest Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 17/6/2024)
Corticobasal Degeneration (CBD)
Diagnosing clinician: Jessi Casper
30/12/2022
Sensory impairment: Unde perferendis aliquid impedit architecto natus incidunt fugiat.
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
DR Joya Barrows Civil partner
0798135590 / 0980740249 joya_barrows@example.com 4911 Nevada Highway, Suite 396, Michalchester, WS13 1NP
Referrer
Deb Walsh Quod labore explicabo veniam voluptate tenetur maiores.
024614328306 / 086224712179 deb_walsh@example.com
Referral source
AUKO HSO

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