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Referrals

External referral form
Ref Name Status Processed at Processed by Linked case Notes
#91 Donald Glover Accepted 1 day Vicki Schmidt Adviser Case #DC397 - View
#62 Kristofer Goodwin Accepted about 2 months Vicki Schmidt Adviser Case #DC265 - View

Referral for Donald Glover

#91

Referral received at 5:09am on Wed 21st May, 2025
View case Accepted
Person with Dementia
DR Donald Glover 76yrs Male
081043156689 / 08248 841096 donald_glover@example.com 30030 Ida Canyon, Suite 654, New Roxie, HY75 5AM
Preferred contact times: morning
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DOB
9/4/1949
NHS
9650538860
GP
Wolff Fall Practice
Ethnic group
White and Asian
Diagnosis
Referral made to memory clinic: No (Appointment date: 13/6/2024)
Dementia (origin non-specific) 8/1/2023
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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
MR Xavier (Norbert) Schumm Other
093911645461 / 0566642552 xavier_schumm@example.com 781 Muller Key, Suite 122, Lake Joellenfurt, IA1 4IB
Referrer
Josiah Leffler Itaque minus doloremque est blanditiis optio labore nesciunt quasi.
042447301287 / 035578044483 josiah_leffler@example.com
Referral source
Other NHS service