[PSYCHOLOGY] Camila Adella Perez Elizondo

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Camila Elizondo
Posts: 1
Joined: Mon Jan 24, 2022 6:01 pm

[PSYCHOLOGY] Camila Adella Perez Elizondo

Post by Camila Elizondo »

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I. PATIENT INFORMATION
  • Title: (select one)
    • [] Mr.
    • [] Mrs.
    • [X] Ms.
    • [] Other
    First Name:
    Camila

    Middle Name: (optional)
    Adella Perez

    Last Name:
    Elizondo

    Gender: (select one)
    • [] Male
    • [X] Female
    Date of Birth:
    18/OCT/1995

    Address:
    1170 Cougar Ave - Floor 4, Room 1, Morningwood, Los Santos, San Andreas

    ZIP / Postal Code:
    10910

II. CONTACT INFORMATION
  • Phone Type: (select one)
    • [X] Mobile
    • [] Home
    • [] Work
    • [] Other
    Phone Number:
    3170

    Email:
    [email protected] (( OZONE ))

III. APPOINTMENT DETAILS
  • Has the patient been seen at Pillbox Hill Medical Center in the past?
    • [X] Yes
    • [] No
    Does the patient have a diagnosis?
    • [] Yes
    • [X] No
    If so, please describe:
    N/A (N/A if the answer to the previous question is 'No')

    Reason for Appointment: Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.)
    Trying to recover from a traumatic event that occurred a few weeks prior. Mainly need help with coping mechanisms and tips on moving on from what happen to me. Despite my best attempts, I am still having anxiety, nightmares, and insomnia and I decided that I need to see professional help.

    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:
    • [] Medical
    • [X] Psychology
    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.)
    • [] 25/JUN/2022 - 15:00
      [X] 26/JUN/2022 - 15:00
      [] 02/JUL/2022 - 15:00
      [] 03/JUL/2022 - 15:00
      [] 16/JUL/2022 - 15:00
      [] 17/JUL/2022 - 15:00
      [] 30/JUL/2022 - 15:00
      /list]
      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.)
      Any are fine with me.
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Sade Aliz
Posts: 95
Joined: Sun Mar 13, 2022 4:23 pm

Re: [PSYCHOLOGY] Camila Adella Perez Elizondo

Post by Sade Aliz »

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Dear Ms. Camila Adella Perez Elizondo

We have received and reviewed your request and we are delighted to inform you that your appointment is scheduled on 26/JUN/2022 at 15:00 with Doctor Sade Aliz. Please make sure to:
  1. Park your vehicle on the southern parking lot on Strawberry Avenue.
  2. Enter through the northern entrance on Elgin Avenue which leads directly to the lobby and front desk.
  3. Show up at least fifteen minutes prior to the appointment time.
  4. Check in at the reception and patiently wait in the lobby.
Kind regards,
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