[MEDICAL] Dove Espinosa

[D_Es2000]

I. PATIENT INFORMATION

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• Title: (select one)
  • [] Mr.
  • [] Mrs.
  • [X] Ms.
  • [] Other
  First Name:
  Dove
  
  Middle Name: (optional)
  N/A
  
  Last Name:
  Espinosa
  
  Gender: (select one)
  • [] Male
  • [X] Female
  Date of Birth:
  21/FEB/2000
  
  Address:
  N/A
  
  ZIP / Postal Code:
  N/A
  

II. CONTACT INFORMATION

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• Phone Type: (select one)
  • [X] Mobile
  • [] Home
  • [] Work
  • [] Other
  Phone Number:
  38222102
  
  Email:
  [email protected] (( Moonlight.Shawty ))
  

III. APPOINTMENT DETAILS

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• Has the patient been seen at Pillbox Hill Medical Center in the past?
  • [X] Yes
  • [] No
  Does the patient have a diagnosis?
  • [X] Yes
  • [] No
  If so, please describe:
  Pregnancy
  
  Reason for Appointment: Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.)
  First pregnancy check up appointment.
  
  Is this condition or injury related to work?
  • [] Yes
  • [X] No
  Is this condition or injury related to an auto accident?
  • [] Yes
  • [X] No
  Department:
  • [X] Medical
  • [] Psychology
  • [] Phoenix
  Dates & Times for Appointment: (list your available dates and times in the next 7 days - use more lines if needed and mark with an 'X' your preferred one. Note that we cannot guarantee exact scheduling, but we will do our best to accommodate the patient's wishes.)
  • [] 26/OCT/2021 - 18:00 or later
    [] 27/OCT/2021 - 18:00 or later
    [] 28/OCT/2021 - 18:00 or later
    [] 29/OCT/2021 - 18:00 or later
    [] 30/OCT/2021 - 18:00 or later
    [] 31/OCT/2021 - 18:00 or later
  Preferred Doctor for Appointment: (check the list of doctors here and pick one based on personal preference. Note that this is optional and if you don't choose one, one will be automatically assigned to you.)
  N/A

[Robert Allison]

Good day Ms. Espinosa,

What is/are the best times for you to come in for an appointment?

- Dr. Robert Allison

[D_Es2000]

Hi Dr. Allison,

Tonight and tomorrow I can be available around 0:00 or later. I had some changes to my schedule so I won’t be available until a little later than the times I included in my initial request for the next two days. However Thursday I can meet earlier again, around 18:00 or later.

Please let me know what works!

Thanks,
Dove

[Robert Allison]

Hi Dr. Allison,

Tonight and tomorrow I can be available around 0:00 or later. I had some changes to my schedule so I won’t be available until a little later than the times I included in my initial request for the next two days. However Thursday I can meet earlier again, around 18:00 or later.

Please let me know what works!

Thanks,
Dove

Ms Espinosa,

I believe Thursday at 18:00 would be the best for the appointment. I look forward to meeting you and will call thirty minutes in advance of the appointment. If there's any further questions, please don't hesitate to ask.

Regards,
Dr. Robert Allison

[D_Es2000]

That's perfect, thank you!

-Dove