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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 #63 for Tyron Krajcik
Triage

Referral received at 12:56am on Sat 17th May, 2025
Person with Dementia
MR Tyron Krajcik 74yrs Male
04149 639904 / 05543 175323 tyron_krajcik@example.com 074 Lockman Vista, Apt. 346, West Suzyton, YG30 2GY
Preferred contact times: afternoon
Optio exercitationem voluptatibus provident totam.
DOB
20/11/1950
NHS
3943546616
GP
Wolff Fall Practice
Ethnic group
Roma
Diagnosis
Referral made to memory clinic: No (Appointment date: 17/9/2024)
Mixed Lewy Body and Alzheimer's
Diagnosing clinician: Claire Watsica
7/9/2023
Sensory impairment: Facere dolores quidem voluptate minus quia id repudiandae quaerat.
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
MS Gricelda Heathcote Granddaughter
0572383459 / 0690739762 gricelda_heathcote@example.com 4091 Alycia Circle, Apt. 297, East Ayako, AS52 5PU
Referrer
Garth Steuber Tempore ab ipsam optio voluptas molestiae dicta fuga eos.
099326393543 / 02443 865903 garth_steuber@example.com
Referral source
AUKO reception/helpline

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