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Received Ref Name Stage
22 days ago #91 Donald Glover Triage View
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24 days ago #51 Emile Schaden Triage View
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Process referral #20 for Silas (Rigoberto) Padberg
Triage

Referral received at 10:59pm on Tue 13th May, 2025
Person with Dementia
MR Silas (Rigoberto) Padberg 65yrs Male
056767032961 / 08297 378765 silas_padberg@example.com 53562 Shani Skyway, Apt. 868, Maggioborough, FU11 5UH
Preferred contact times: afternoon
Officiis molestiae quis itaque eius inventore.
DOB
5/10/1959
NHS
0991533119
GP
Jast Hills Practice
Ethnic group
Indian
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 13/11/2024)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Carolyn Murphy
25/9/2022
Sensory impairment: Voluptatibus quaerat quos reprehenderit necessitatibus rem a.
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
MX Mabel Luettgen Granddaughter
04826 485540 / 05769 309568 mabel_luettgen@example.com 5856 Upton Corners, Suite 073, Mayertmouth, GG37 5DV
Referrer
Ceola Marquardt Quaerat accusantium voluptatibus saepe impedit.
072723700534 / 07334 565041 ceola_marquardt@example.com
Referral source
Family or Friend

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