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Received Ref Name Stage
22 days ago #91 Donald Glover Triage View
23 days ago #29 Jeffery Kuvalis Triage View
23 days ago #55 Willian Kilback Triage View
23 days ago #40 Susannah Kovacek Triage View
23 days ago #13 Phebe Kris Triage View
23 days ago #50 Raymond Christiansen Triage View
23 days ago #2 Jimmie Oberbrunner Triage View
23 days ago #47 Douglass Dietrich Triage View
23 days ago #56 Joi Jast Triage View
23 days ago #49 Brad Towne Triage View
23 days ago #23 Giovanni Hintz Triage View
24 days ago #99 Benjamin Rau Triage View
24 days ago #4 Dylan Ledner Triage View
24 days ago #18 Glenn Brekke Triage View
24 days ago #60 Myron Aufderhar Triage View
24 days ago #69 Rodrick Friesen Triage View
24 days ago #71 Ashleigh Brown Triage View
24 days ago #73 Oren Rowe Triage View
24 days ago #37 Colton Lynch Triage View
24 days ago #51 Emile Schaden Triage View

Process referral #19 for Tara Hintz
Triage

Referral received at 8:53am on Sat 10th May, 2025
Person with Dementia
MX Tara Hintz 70yrs Female lives alone
04087 635015 / 04348 399973 tara_hintz@example.com 90889 Crooks Island, Suite 439, Ethashire, YN3 1VG
Preferred contact times: afternoon
Eveniet nesciunt dolorem fugiat cumque laborum.
DOB
29/1/1955
NHS
1946614181
GP
Eda Freeway Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 26/1/2025)
Creutzfeld-Jakob disease (CJD)
Diagnosing clinician: Adeline Franecki
23/8/2023
Sensory impairment: Placeat cumque magni dolor numquam magnam at earum 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
DR Verla (Gala) Ebert Daughter
07144 894222 / 0915331959 verla_ebert@example.com 2852 Jarrett Extensions, Suite 870, Kennaview, SQ0 7MG
Referrer
Yolonda Harber Facere molestias minima sint a fugit excepturi quisquam.
05279 225449 / 04606 287047 yolonda_harber@example.com
Referral source
Community Nursing

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