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23 days ago #91 Donald Glover Triage View
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Process referral #72 for Waldo Lockman
Triage

Referral received at 12:04pm on Sun 11th May, 2025
Person with Dementia
DR Waldo Lockman 82yrs Male lives alone
02438 265196 / 0319638395 waldo_lockman@example.com 739 Carolyne Path, Suite 611, Jenkinsshire, JT46 7GP
Preferred contact times: morning
Cupiditate voluptas ex harum delectus.
DOB
24/7/1942
NHS
1022017411
GP
Yung Ridge Practice
Ethnic group
Any other White background
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 10/8/2024)
Multiple Scelosis (MS) dementia
Diagnosing clinician: Branda Zemlak
28/8/2023
Sensory impairment: Illum officia natus repellat vero non deleniti.
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
MS Dagmar (Tatiana) Frami Friend
0200286723 / 0281029483 dagmar_frami@example.com 923 Corkery Shoal, Apt. 583, South Eugenaborough, IU4 1YC
Referrer
Sydney Okuneva Corrupti sequi aut quam eveniet.
0832396796 / 07222 534404 sydney_okuneva@example.com
Referral source
AUKO DOX

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