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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 #70 for Ana (Shantelle) Ebert
Triage

Referral received at 4:15am on Fri 9th May, 2025
Person with Dementia
MS Ana (Shantelle) Ebert 90yrs Female
0632391496 / 067488519599 ana_ebert@example.com 0463 John Harbor, Apt. 274, South Jeraldine, MJ3 0GQ
Preferred contact times: afternoon
Pariatur cumque excepturi possimus et deserunt similique.
DOB
3/2/1935
NHS
6026464824
GP
Lara Greens Practice
Ethnic group
Any other Black, African or Caribbean background
Diagnosis
Referral made to memory clinic: No (Appointment date: 14/4/2025)
Dementia (origin non-specific)
Diagnosing clinician: Sharika Wyman
20/2/2025
Sensory impairment: Laudantium odio est eius quos.
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
MX Rosemary Yost Sister
0967365510 / 0842167431 rosemary_yost@example.com 912 Paulene Fields, Apt. 970, West Danille, GY4 3LR
Referrer
Johnna Muller Consequatur distinctio aliquam pariatur suscipit minus libero voluptatem adipisci.
0455665479 / 09827 131137 johnna_muller@example.com
Referral source
GP Practice

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