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Referrals

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22 days ago #91 Donald Glover Triage View
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Process referral #34 for Richie Gaylord
Triage

Referral received at 9:43am on Fri 9th May, 2025
Person with Dementia
MR Richie Gaylord 72yrs Male lives alone
08801 367605 / 06209 978037 richie_gaylord@example.com 6917 Arlette Mills, Suite 600, Port Cristin, EI49 8LG
Preferred contact times: morning
Earum sint nesciunt sit occaecati consequatur sunt nisi.
DOB
22/3/1953
NHS
8593355552
GP
Wiegand Gardens Practice
Ethnic group
White and Asian
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 27/1/2025)
Huntingdon's disease
Diagnosing clinician: Shayna Walsh
12/8/2023
Sensory impairment: Est quibusdam voluptatibus totam minima laudantium ratione.
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
PROFESSOR Genevive Pacocha Other
0307500659 / 0251851660 genevive_pacocha@example.com 3550 Bogan Highway, Suite 944, New Iola, HN14 6IU
Referrer
Aurora Flatley Sequi dolorem accusantium sit ipsa quae et odio corrupti.
0580748726 / 020211443725 aurora_flatley@example.com
Referral source
Family or Friend

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