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Received Ref Name Stage
2 months ago #191 Leticia O'Connell Triage View
2 months ago #172 Kanesha Dare Triage View
2 months ago #225 Liza Bergnaum Triage View
2 months ago #207 Wilmer Jones Triage View
2 months ago #138 Johnny Schoen Triage View
2 months ago #177 Laurie Hartmann Triage View
2 months ago #145 Isaura Lebsack Triage View
2 months ago #205 Elizabeth Bartell Triage View
2 months ago #208 Marty Upton Triage View
2 months ago #161 Garland Metz Triage View
2 months ago #163 Anjanette Wuckert Triage View
2 months ago #135 Danilo Braun Triage View
2 months ago #215 Melba Quitzon Triage View
2 months ago #169 Johanna Bergstrom Triage View
2 months ago #173 Jaquelyn Hayes Triage View
2 months ago #216 Andre Tromp Triage View
2 months ago #224 Debby Jacobs Triage View
2 months ago #174 Shaunda Koss Triage View
2 months ago #179 Augustine Gutmann Triage View
2 months ago #166 Marisa Marks Triage View
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Process referral #215 for Shamika (Melba) Quitzon
Triage

Referral received at 12:03pm on Wed 27th Aug, 2025
Person with Dementia
MX Shamika (Melba) Quitzon 73yrs Female lives alone
040809714283 / 04818 501226 shamika_quitzon@example.com 72004 Mueller Corners, Suite 003, Hellenton, FF6 8OC
Preferred contact times: any
Repellendus minima quaerat quasi eius doloremque sed eveniet.
DOB
26/12/1951
NHS
5146656126
GP
Mira Park Practice
Ethnic group
Caribbean
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 19/6/2025)
Huntingdon's disease
Diagnosing clinician: Josue Marquardt
16/1/2025
Sensory impairment: Esse officiis molestias sint illo vel dicta non.
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 Aldo (Terence) Gerhold Stepson
02521 889616 / 0228521104 aldo_gerhold@example.com 543 Collier Forge, Suite 116, Lake Vickeyburgh, RR5 0PI
Referrer
Tessie Hirthe Tenetur harum enim ut ipsa non sint tempore.
065609499203 / 0799900935 tessie_hirthe@example.com
Referral source
Community Nursing

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