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Received Ref Name Stage
23 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
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23 days ago #2 Jimmie Oberbrunner Triage View
23 days ago #47 Douglass Dietrich Triage View
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24 days ago #99 Benjamin Rau Triage View
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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
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Process referral #70 for Ana (Shantelle) Ebert
Triage

Referral received at 4:15am on Fri 9th May, 2025
Person with Dementia
MS Ana (Shantelle) Ebert 90yrs Female
0632391496 / 067488519599 ana_ebert@example.com 0463 John Harbor, Apt. 274, South Jeraldine, MJ3 0GQ
Preferred contact times: afternoon
Pariatur cumque excepturi possimus et deserunt similique.
DOB
3/2/1935
NHS
6026464824
GP
Lara Greens Practice
Ethnic group
Any other Black, African or Caribbean background
Diagnosis
Referral made to memory clinic: No (Appointment date: 14/4/2025)
Dementia (origin non-specific)
Diagnosing clinician: Sharika Wyman
20/2/2025
Sensory impairment: Laudantium odio est eius quos.
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 Rosemary Yost Sister
0967365510 / 0842167431 rosemary_yost@example.com 912 Paulene Fields, Apt. 970, West Danille, GY4 3LR
Referrer
Johnna Muller Consequatur distinctio aliquam pariatur suscipit minus libero voluptatem adipisci.
0455665479 / 09827 131137 johnna_muller@example.com
Referral source
GP Practice

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