{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Nicole Vanston", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": 7000013183, "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1989-11-11", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-09-26T17:38"}, "questionId": "UNW-iz6p"}, {"options": {"value": "(720) 610-5550", "optionId": "nuphno"}, "questionId": "NU-Phno"}, {"options": {"value": "p.tabbilos@focuscares.com", "optionId": "unb4v"}, "questionId": "UNQ-lowx"}, {"options": {"value": "Focus Care", "optionId": "unp4v"}, "questionId": "UNX-lowx"}, {"options": {"value": "Patricia Gail Tabbilos", "optionId": "unq4v"}, "questionId": "UNN-lowx"}, {"options": {"value": "Other", "optionId": ["nuepq"]}, "questionId": "NU-w165"}, {"options": {"value": "Patient is a 35 y/o pleasant female with ADHD, bipolar d/o, and with developmental disability. Her mother Rosie and personal homemaker Lucille is with her during the interview and helped her answer some questions. She currently lives with her mother and her personal homemaker helps her with hygiene and cleans her bedroom, bathroom, and kitchen. Patient would like to live independently and Cris from Rocky Mountain Human services is currently helping her find an independent housing. Her BMI is 32.4, does not follow regular exercise and diet. Patient admitted that she did not get a refill for OCP because her prescriptions were switched to mail-order pharmacy. Lucille will help her get an appointment on Monday with PCP to help with OCP refill, psychiatrist appointment, and eye exam appointment.<br><br>Non-urgent referral:<br>Needs PCP to discuss about: Advanced directive with provider and family;  Medication adherence; and Nutrition and weight management (BMI: 32.4). Patient stated that she feels sick whenever she takes all her medication at once. She uses a weekly pill organizer.<br>Needs social worker evaluation regarding: no water coming from kitchen for a year, can't afford a plumber; Nicole washes dishes from the bathroom sink; Lucille will help her with refill for OCP, needs follow up if this was done; and there's no smoke and carbon monoxide detector at home.", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "7205909964", "optionId": "uni4v"}, "questionId": "UNS-lowx"}, {"options": {"value": "Yes", "optionId": "unsu8"}, "questionId": "UNQ-jtcz"}, {"options": {"value": "No", "optionId": "unl6B"}, "questionId": "UNA-que"}, {"options": {"value": "No", "optionId": "unl6D"}, "questionId": "UNB-que"}, {"options": {"value": "<br>Non-urgent referral:<br>Needs PCP to discuss about: Advanced directive with provider and family;  Medication adherence; and Nutrition and weight management (BMI: 32.4). Patient stated that she feels sick whenever she takes all her medication at once. She uses a weekly pill organizer.<br>Needs social worker evaluation regarding: no water coming from kitchen for a year, can't afford a plumber; Nicole washes dishes from the bathroom sink; Lucille will help her with refill for OCP, needs follow up if this was done; and there's no smoke and carbon monoxide detector at home.", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "update": false, "clientId": "client_015", "memberId": 7000013183, "referralId": "nuvu8", "submittedBy": "PTabbilos", "sentToQADate": "2025-09-26T23:40:21.612Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}