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Referrals

External referral form
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Received Ref Name Stage
23 days ago #91 Donald Glover Triage View
23 days ago #29 Jeffery Kuvalis Triage View
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23 days ago #13 Phebe Kris Triage View
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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 #92 for Reyna Nienow
Triage

Referral received at 2:48am on Thu 15th May, 2025
Person with Dementia
PROFESSOR Reyna Nienow 78yrs Female
07057 634557 / 04952 084596 reyna_nienow@example.com 7364 Reed Manor, Suite 471, New Alaina, OC12 3FF
Preferred contact times: afternoon
Facilis recusandae iusto temporibus reiciendis a possimus quaerat mollitia.
DOB
21/3/1947
NHS
8526805703
GP
Lara Greens Practice
Ethnic group
English, Welsh, Scottish, Northern Irish or British
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 4/3/2025)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Britt Pacocha
14/10/2022
Sensory impairment: Ipsam cupiditate expedita consequatur quae sit accusantium inventore.
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
MISS Latricia (Hana) Walsh Other
09270 273788 / 09097 891724 latricia_walsh@example.com 903 Bobby Spur, Apt. 222, Lowelltown, JQ61 9QT
Referrer
Palmer Ratke Sed odio nam asperiores laboriosam.
043338826522 / 04519 020569 palmer_ratke@example.com
Referral source
Other

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