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Received Ref Name Stage
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Process referral #65 for Man Hammes
Triage

Referral received at 2:11pm on Sun 11th May, 2025
Person with Dementia
PROFESSOR Man Hammes 93yrs Male
099843860090 / 05687 904764 man_hammes@example.com 02842 Powlowski Field, Suite 057, East Shirlene, MY6 7FE
Preferred contact times: morning
Quibusdam praesentium corrupti minima aperiam voluptatum.
DOB
19/2/1932
NHS
8498828848
GP
Eda Freeway Practice
Ethnic group
African
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 7/8/2024)
Corticobasal Degeneration (CBD)
Diagnosing clinician: Dia Keebler
5/12/2022
Sensory impairment: Nulla eius mollitia architecto laudantium perferendis consectetur.
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
-
Referrer
Nam Halvorson Ipsum provident consequatur officiis illum accusantium at aliquam accusamus.
0621821713 / 04928 985417 nam_halvorson@example.com
Referral source
AUKO GG

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