Move Together

Name	Referrer	Status	Submitted at
Vicenta Champlin		Accepted	23rd Oct 2024	View enquiry
Vicenta Champlin	Liana Durgan, liana_durgan@example.com, 055 6143758, I'm helping the participant in a professional capacity, Adviser, City Council	Accepted	12th Jul 2024	View enquiry

Contact details

Name: Vicenta Champlin

Email: vicenta_champlin@example.com

Phone: 04789 6431554 / 097 0188948

96666 Prosacco Ford, Suite 649, Apt. 650, North Greta, OX27 9RF

NHS Number: 9434765919

GP Practice: Sibford Surgery

Demographics

Age: 75 yrs (19/06/1949)

Gender: Female

Ethnic group: Any other White background

Health

Physical or mental health condition: Yes - has day-to-day impact (Atrial Fibrillation, Heart Failure, Hypertension (high blood pressure), Stroke and/or TIA (mini stroke), Diabetes, Hypothyroidism, Asthma, Other Mental Health Condition, Dementia, Neurological Disorder, Musculoskeletal Condition, Other)

Disability: Yes (Stamina or breathing difficulty, Other impairment)

Pregnancy

Pregnant: No

Postnatal: No

Person to contact

Name: Lila Kunze

Email: lila_kunze@example.com

Phone: 02721 1032962

Relationship: Partner

Best time to contact: Anytime except the weekend

Other details

Enquiry reason:

Other relevant information: A tempore rerum unde exercitationem consectetur nulla autem pariatur.

On shielded list? Yes

Heard about from: Health promotion practitioner

Referred by: Liana Durgan, liana_durgan@example.com, 055 6143758, I'm helping the participant in a professional capacity, Adviser, City Council

Demo: This is a public demo site. Please don't enter real names or personal information. Data may be reset at any point.

Vicenta Champlin ROSOV Cherwell

Move Together #2951
|
Initial assessment

Contact details

Demographics

Health

Pregnancy

Person to contact

Other details

Interpreter required: Non debitis maxime minus totam itaque.

Communication difficulties: Aperiam exercitationem cupiditate nihil sapiente laboriosam consequatur.

Demo: This is a public demo site. Please don't enter real names or personal information. Data may be reset at any point.

Vicenta Champlin ROSOV Cherwell

Move Together #2951 | Initial assessment

View enquiry

Contact details

Demographics

Health

Pregnancy

Person to contact

Other details

Interpreter required: Non debitis maxime minus totam itaque.

Communication difficulties: Aperiam exercitationem cupiditate nihil sapiente laboriosam consequatur.

Move Together #2951
|
Initial assessment