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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 #84 for Avery Emard
Triage

Referral received at 10:05pm on Fri 16th May, 2025
Person with Dementia
MR Avery Emard 88yrs Male
0899220340 / 0707166306 avery_emard@example.com 72255 Muller Forges, Apt. 995, North Owentown, WL9 0LT
Preferred contact times: afternoon
Eum nam inventore nemo omnis mollitia rem quis.
DOB
11/12/1936
NHS
1008135887
GP
Leo Burg Practice
Ethnic group
Arab
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 7/10/2024)
Huntingdon's disease
Diagnosing clinician: Stefani O'Reilly
17/5/2025
Sensory impairment: Veritatis dolor expedita ratione placeat.
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 Clarinda Hegmann Partner
07118 788416 / 041124375653 clarinda_hegmann@example.com 57046 Breitenberg Views, Suite 284, East Andra, PJ42 7DS
Referrer
Lacey Langworth Est omnis numquam impedit repellendus mollitia perferendis.
08083 469782 / 054823878955 lacey_langworth@example.com
Referral source
CMHT

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