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Health Surveillance Referral Information (3940577)

Appointment

Show form for the following appointment

Employee Details

ERN

3213574

First Name

Jane

Surname

Russell

Date of Birth

03/05/1960

Job Title

Staff member

Referring Manager

Graham Hannah

Assessment Details

Type of Assessment

Bespoke Wellperson+Cancer FEMALE

Assessment Date

18/04/2024

Client

NHS Trust 1 NHS Foundation

Clinician

Lauren Wardell

Linked Referral

Supporting Documents

N/A

Additional Services

Service Type Service Due Due Date Traffic Light Action
Blood Test TOH Wellperson + Cancer (Female) REPEAT Select
Blood Test TOH FIT Test 05/02/2024 Select
Blood Test TOH PSA Blood Test 05/02/2024 Select

Blood Test Assessment Notes

Blood Test Lab Result Normal Range Units Test Date Clinician Name Results Date Action Outcome Next Action
Bespoke Wellperson+Cancer FEMALE * * *
*
*
*
* *

Clinical Notes

Laboratory

*

Blood Results

*

Supporting Report Documentation

Did not Attend

*

Photo ID checked?

*

Deferred All

Referral Status