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Received Ref Name Stage
12 days ago #91 Kip Bechtelar Triage View
12 days ago #30 Alene Dietrich Triage View
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15 days ago #83 Milton Dare Triage View

Process referral #75 for Delena (Oliva) Ebert
Triage

Referral received at 3:07pm on Tue 5th Aug, 2025
Person with Dementia
DR Delena (Oliva) Ebert 73yrs Female
09750 829635 / 056990800886 delena_ebert@example.com 0606 Lean Path, Suite 586, Bashirianside, KS7 4PF
Preferred contact times: any
Qui sapiente fugit deserunt quia cum.
DOB
30/1/1952
NHS
7351843996
GP
Anette Divide Practice
Ethnic group
Any other Asian background
Diagnosis
Referral made to memory clinic: No (Appointment date: 29/1/2025)
Mixed Lewy Body and Alzheimer's
Diagnosing clinician: Marg Yundt
8/6/2024
Sensory impairment: Quas earum sint repellendus eius eaque.
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
MRS Catheryn Eichmann Granddaughter
0747882644 / 0926853843 catheryn_eichmann@example.com 8062 Sidney Brooks, Apt. 233, South Deedra, BN12 7VL
Referrer
Gabriella Stehr Ratione perspiciatis velit pariatur excepturi at.
028133929211 / 0475322497 gabriella_stehr@example.com
Referral source
Community Nursing

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