Enquiries

Upload EMIS referral MT Enquiry form

Select a tab

Draft Inbox Accepted Duplicate Rejected

Name	Status	Submitted at
Clifton Jones	Rejected	8th May	View enquiry
Corrine Kertzmann	Rejected	20th Feb	View enquiry
Magdalen Macejkovic	Rejected	7th Nov 2024	View enquiry
Vernell Dibbert	Rejected	28th Aug 2024	View enquiry

View enquiry

Enquiry for Vernell Dibbert #3849 GO Active Get Healthy - Diabetes

Self-referral

Rejected

Received at 1:38am on Wed 28th Aug, 2024

Rejection notes: Placeat reprehenderit sunt iure sapiente tempore iusto impedit.

Contact details

Name: Vernell Dibbert

Email: vernell_dibbert@example.com

Phone: 0902 6160725 / 03706 0750442

2613 Parisian Flats, Suite 875, Suite 147, North Gino, OX15 0AG

NHS Number: 9434765919

GP Practice: The Rycote Practice, Thame

Demographics

Age: 52 yrs (13/08/1972)

Gender: Prefer not to say

Ethnic group: Any other Mixed or Multiple ethnic background

Health

Physical or mental health condition: Yes - has day-to-day impact (Atrial Fibrillation, Hypertension (high blood pressure), Hypothyroidism, Asthma, Depression or Anxiety, Dementia, Neurological Disorder, Falls, Obesity)

Disability: Yes (Mobility, such as difficulty walking short distances, climbing stairs, lifting, and carrying objects., Learning or concentrating or remembering, Mental health, Stamina or breathing difficulty, Social or behavioural issues (e.g. due to neuro diverse conditions such as Autism, Attention Deficit Disorder or Asperger's Syndrome), Other impairment)

Pregnancy

Pregnant: No

Postnatal: No

Person to contact

Name: Keturah Hoeger

Email: keturah_hoeger@example.com

Phone: 04501 7909278

Relationship: Partner

Best time to contact: Anytime except the weekend

Other details

Enquiry reason:

Other relevant information: Nobis error corrupti accusamus cupiditate impedit nisi.

Heard about from: Shielded patient letter

Communication difficulties: Tempore et ipsa nulla eligendi itaque.

Created by Oxford Code Lab