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Received Ref Name Stage
about 1 month ago #12 Alla DuBuque Triage View
about 1 month ago #21 Ivelisse Sipes Triage View
about 1 month ago #57 Michale Tremblay Triage View
about 1 month ago #19 Tara Hintz Triage View
about 1 month ago #25 Dimple Stroman Triage View
about 1 month ago #100 Milda Hills Triage View
about 1 month ago #22 Carter Bins Triage View
about 1 month ago #66 Santo Pacocha Triage View
about 1 month ago #39 Thad Weissnat Triage View
about 1 month ago #52 Mariano Kemmer Triage View
about 1 month ago #34 Richie Gaylord Triage View
about 1 month ago #41 Shasta Pouros Triage View
about 1 month ago #87 Toney Ernser Triage View
about 1 month ago #70 Shantelle Ebert Triage View
about 1 month ago #82 Hosea Dare Triage View
about 1 month ago #3 Willetta Boyer Triage View
about 1 month ago #33 Carolin Lockman Triage View
about 1 month ago #75 Rick Cummerata Triage View
about 1 month ago #86 Abigail Hettinger Triage View

Process referral #6 for Phil Langworth
Triage

Referral received at 3:30am on Mon 12th May, 2025
Person with Dementia
DR Phil Langworth 89yrs Male lives alone
029915942420 / 061836471178 phil_langworth@example.com 00756 Louann Trace, Apt. 900, Hiramberg, OB2 7SW
Preferred contact times: morning
Harum assumenda quibusdam totam sint alias ipsam quaerat.
DOB
21/8/1935
NHS
0560215002
GP
Wiegand Gardens Practice
Ethnic group
Irish
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 16/1/2025)
HIV and AIDS related dementia
Diagnosing clinician: Sheilah Metz
7/1/2024
Sensory impairment: Eius dolores corrupti assumenda dicta eveniet doloribus.
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
MR Stefan Quigley Son
0503921688 / 080448158395 stefan_quigley@example.com 703 Fritsch Haven, Apt. 818, West Sybilside, KA20 0MP
Referrer
Madeline Eichmann Quod optio rerum distinctio praesentium labore esse delectus libero.
048790719916 / 030860715415 madeline_eichmann@example.com
Referral source
Hospital

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