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Referrals

External referral form
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Received Ref Name Stage
21 days ago #91 Donald Glover Triage View
21 days ago #29 Jeffery Kuvalis Triage View
21 days ago #55 Willian Kilback Triage View
21 days ago #40 Susannah Kovacek Triage View
22 days ago #13 Phebe Kris Triage View
22 days ago #50 Raymond Christiansen Triage View
22 days ago #2 Jimmie Oberbrunner Triage View
22 days ago #47 Douglass Dietrich Triage View
22 days ago #56 Joi Jast Triage View
22 days ago #49 Brad Towne Triage View
22 days ago #23 Giovanni Hintz Triage View
22 days ago #99 Benjamin Rau Triage View
22 days ago #4 Dylan Ledner Triage View
22 days ago #18 Glenn Brekke Triage View
22 days ago #60 Myron Aufderhar Triage View
23 days ago #69 Rodrick Friesen Triage View
23 days ago #71 Ashleigh Brown Triage View
23 days ago #73 Oren Rowe Triage View
23 days ago #37 Colton Lynch Triage View
23 days ago #51 Emile Schaden Triage View
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Process referral #99 for Benjamin Rau
Triage

Referral received at 12:48am on Tue 20th May, 2025
Person with Dementia
DR Benjamin Rau 83yrs Prefer not to say lives alone
041075428909 / 099983036665 benjamin_rau@example.com 46227 Powlowski Corners, Apt. 343, Thelmafurt, FM32 5CF
Preferred contact times: morning
Facilis unde fuga dolore velit fugit distinctio sapiente adipisci.
DOB
22/3/1942
NHS
0031042872
GP
Wiegand Gardens Practice
Ethnic group
White and Asian
Diagnosis
Referral made to memory clinic: Yes (Appointment date: 20/8/2024)
Wernicke-Koraskoff syndrome (WKS) or other alcohol related dementia
Diagnosing clinician: Inger Spinka
25/11/2022
Sensory impairment: Exercitationem id alias maxime aperiam non in tenetur veniam.
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 Ranae Fisher Daughter-in-law
098984007189 / 0383015726 ranae_fisher@example.com 1949 Tashina Rapids, Suite 764, West Modesto, WC5 7QU
Referrer
Kirk Gerlach Excepturi incidunt expedita voluptate similique corporis nobis laudantium labore.
0797087483 / 089664950104 kirk_gerlach@example.com
Referral source
AUKO reception/helpline

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