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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 #91 for Donald Glover
Triage

Referral received at 5:09am on Wed 21st May, 2025
Person with Dementia
DR Donald Glover 76yrs Male
081043156689 / 08248 841096 donald_glover@example.com 30030 Ida Canyon, Suite 654, New Roxie, HY75 5AM
Preferred contact times: morning
Omnis consectetur minima voluptas vitae officia quisquam.
DOB
9/4/1949
NHS
9650538860
GP
Wolff Fall Practice
Ethnic group
White and Asian
Diagnosis
Referral made to memory clinic: No (Appointment date: 13/6/2024)
Dementia (origin non-specific)
Diagnosing clinician: Delia Klocko
8/1/2023
Sensory impairment: Vitae sequi accusantium animi mollitia.
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 Xavier (Norbert) Schumm Other
093911645461 / 0566642552 xavier_schumm@example.com 781 Muller Key, Suite 122, Lake Joellenfurt, IA1 4IB
Referrer
Josiah Leffler Itaque minus doloremque est blanditiis optio labore nesciunt quasi.
042447301287 / 035578044483 josiah_leffler@example.com
Referral source
Other NHS service

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