• Try this as a test:

    SELECT

    dbPatID,

    dbAddDate,

    dbStaffLastName,

    RefTypeWord = MAX(RefTypeWord)

    FROM EPSReferralKPIs

    WHERE

    dbAddDate >= '2013-01-01' OR '2013-01-01' = ''

    AND dbAddDate <= '2013-12-31' OR '2013-12-31' = ''

    AND dbStaffLastName IN ('Swanepoel','Patient','Pelletti','Ray','Qureshi','Grobler','Hedborg','De Kock','Lima','Check In','Hodgson')

    AND RefTypeWord IN ('PATIENT','OTHER','DOCTOR','','SIBLING')

    GROUP BY dbPatID, dbAddDate, dbStaffLastName

    ORDER BY dbAddDate

    “Write the query the simplest way. If through testing it becomes clear that the performance is inadequate, consider alternative query forms.” - Gail Shaw

    For fast, accurate and documented assistance in answering your questions, please read this article.
    Understanding and using APPLY, (I) and (II) Paul White
    Hidden RBAR: Triangular Joins / The "Numbers" or "Tally" Table: What it is and how it replaces a loop Jeff Moden