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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
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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
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about 1 month ago #86 Abigail Hettinger Triage View

Process referral #81 for August Schiller
Triage

Referral received at 5:58pm on Sat 17th May, 2025
Person with Dementia
MR August Schiller 66yrs Male
072585252080 / 0434687840 august_schiller@example.com 965 Feeney Well, Apt. 286, Reichelchester, NN67 3BX
Preferred contact times: any
Nobis dolor natus labore molestiae vitae dolorem facilis.
DOB
5/5/1959
NHS
8107395085
GP
Tynisha Ferry Practice
Ethnic group
White and Black African
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 30/10/2024)
Mixed Lewy Body and Alzheimer's
Diagnosing clinician: Corey Runolfsdottir
3/2/2025
Sensory impairment: Earum nihil dolorem officia perferendis velit ab corporis.
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 Eric O'Conner Grandson
039820959277 / 0551322418 eric_o'conner@example.com 75025 Collins Motorway, Suite 461, Botsfordchester, LP20 9SU
Referrer
Donnette Swaniawski Dolore officia dolor tenetur non illum mollitia commodi consectetur.
0761918502 / 054029210083 donnette_swaniawski@example.com
Referral source
AUKO I&A

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