Move Together

Name	Referrer	Status	Submitted at
Rayford Goldner	Diana Schumm, diana_schumm@example.com, 05078 2991902, I'm helping the participant in a professional capacity, GP, 19 Beaumont St Surgery	Accepted	5th Mar	View enquiry
Rayford Goldner		Accepted	11th Oct 2024	View enquiry

Contact details

Name: Rayford Goldner

Email: rayford_goldner@example.com

Phone: 033 3793710 / 033 9026374

652 Nolan Village, Suite 991, Suite 257, Toniahaven, OX14 2FB

NHS Number: 9434765919

GP Practice: Barton Surgery / Hedena Health

Demographics

Age: 61 yrs (01/03/1964)

Gender: Prefer not to say

Ethnic group: Any other Black, African or Caribbean background

Health

Physical or mental health condition: Yes - has day-to-day impact (Atrial Fibrillation, Heart Failure, Hypothyroidism, Respiratory Disease (e.g. COPD or emphysema), Depression or Anxiety, Musculoskeletal Condition, Obesity, Other)

Disability: Yes ()

Pregnancy

Pregnant: No

Postnatal: No

Person to contact

Name: Aleisha Lindgren

Email: aleisha_lindgren@example.com

Phone: 0410 1121595

Relationship: Partner

Best time to contact: Anytime except the weekend

Other details

Enquiry reason:

Other relevant information: Possimus autem quis accusamus ut explicabo excepturi quasi.

On shielded list? Yes

Impacted by Covid? Yes

Heard about from: EMIS Form

Referred by: Diana Schumm, diana_schumm@example.com, 05078 2991902, I'm helping the participant in a professional capacity, GP, 19 Beaumont St Surgery

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

Rayford Goldner HH1NN Oxford City

Info to send

Move Together #2325
|
Initial assessment

Contact details

Demographics

Health

Pregnancy

Person to contact

Other details

Interpreter required: Atque modi voluptate dolore aperiam aspernatur illo.

Communication difficulties: Reiciendis sapiente natus sit sint culpa sequi vitae.

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

Rayford Goldner HH1NN Oxford City

Info to send

Move Together #2325 | Initial assessment

View enquiry

Contact details

Demographics

Health

Pregnancy

Person to contact

Other details

Interpreter required: Atque modi voluptate dolore aperiam aspernatur illo.

Communication difficulties: Reiciendis sapiente natus sit sint culpa sequi vitae.

Move Together #2325
|
Initial assessment