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Referrals

External referral form
Ref Name Status Processed at Processed by Linked case Notes
#62 Kristofer Goodwin Accepted 7 days Vicki Schmidt Adviser Case #DC265 - View

Referral for Kristofer Goodwin

#62

Referral received at 1:35pm on Wed 21st May, 2025
View case Accepted
Person with Dementia
MR Kristofer Goodwin 80yrs Male
06471 807279 / 064969756510 kristofer_goodwin@example.com 521 Okuneva Pine, Suite 512, New Leahchester, GD7 4SC
Preferred contact times: any
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DOB
16/5/1945
NHS
2353653448
GP
Rich Causeway Practice
Ethnic group
White and Black Caribbean
Diagnosis
Referral made to memory clinic: No (Appointment date: 26/8/2024)
Mixed Lewy Body and Alzheimer's 8/5/2023
Sensory impairment: Dolorem inventore ea sed quidem pariatur placeat corrupti expedita.
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 Kizzie Schneider Daughter-in-law
05350 600648 / 060503042372 kizzie_schneider@example.com 2050 Vikki Forges, Suite 309, Celesteton, JC94 5LT
Referrer
Cecelia Kuhn Aut fuga iure eveniet voluptate delectus eius pariatur assumenda.
0992370914 / 03046 440229 cecelia_kuhn@example.com
Referral source
AUKO HSO