Move Together

Name	Referrer	Status	Submitted at
Richard Dickinson		Accepted	24th Jul	View enquiry
Richard Dickinson	Margarett Von, margarett_von@example.com, 068 7058895, I'm helping the participant in a professional capacity, Head of service, Oxford Social Services	Accepted	5th Apr	View enquiry

Contact details

Name: Richard Dickinson

Email: richard_dickinson@example.com

Phone: 0907 5624630 / 0473 2754751

6113 Brunilda Avenue, Suite 396, Suite 052, Sauerfurt, OX18 1JX

NHS Number: 9434765919

GP Practice: Didcot Health Centre

Demographics

Age: 90 yrs (02/07/1935)

Gender: Prefer not to say

Ethnic group: Unknown

Health

Physical or mental health condition: Yes - has day-to-day impact (Respiratory Disease (e.g. COPD or emphysema), Depression or Anxiety, Other Mental Health Condition, Cancer, Dementia, Neurological Disorder, Falls, Obesity, Other)

Disability: Yes (Hearing (e.g. due to deafness or partial hearing), Mobility, such as difficulty walking short distances, climbing stairs, lifting, and carrying objects., Learning or concentrating or remembering, Mental health, Stamina or breathing difficulty, Prefer not to say)

Pregnancy

Pregnant: No

Postnatal: No

Person to contact

Name: Denis Carroll

Email: denis_carroll@example.com

Phone: 0942 6386907

Relationship: Referrer

Best time to contact:

Other details

Enquiry reason:

Other relevant information: Sapiente dicta facere quod ratione velit distinctio.

On shielded list? Yes

Heard about from: Friend / colleague

Referred by: Margarett Von, margarett_von@example.com, 068 7058895, I'm helping the participant in a professional capacity, Head of service, Oxford Social Services

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

Richard Dickinson 5WHFN South Oxfordshire

Info to send

Move Together #3763
|
Check self-completed IA

Move Together #3763
|
Check self-completed Review

Contact details

Demographics

Health

Pregnancy

Person to contact

Other details

Communication difficulties: Deserunt praesentium eligendi recusandae illo sit ad.

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

Richard Dickinson 5WHFN South Oxfordshire

Info to send

Move Together #3763 | Check self-completed IA

Move Together #3763 | Check self-completed Review

View enquiry

Contact details

Demographics

Health

Pregnancy

Person to contact

Other details

Communication difficulties: Deserunt praesentium eligendi recusandae illo sit ad.

Move Together #3763
|
Check self-completed IA

Move Together #3763
|
Check self-completed Review