[PSYCHOLOGY] NAOMI KANSAKI

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Riley Gallagher
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Posts: 110
Joined: Sat Jun 25, 2022 5:17 pm
Location: Germany

[PSYCHOLOGY] NAOMI KANSAKI

Post by Riley Gallagher »

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

    Middle Name: (optional)


    Last Name:
    Kansaki

    Gender: (select one)
    • [] Male
    • [X] Female
    Date of Birth:
    05/JAN/2002

    Address:
    3 Lindsay Circus, Little Seoul

    ZIP / Postal Code:
    90016

II. CONTACT INFORMATION
  • Phone Type: (select one)
    • [X] Mobile
    • [] Home
    • [] Work
    • [] Other
    Phone Number:
    16991064

    Email:
    [email protected] (( Twennyone ))

III. APPOINTMENT DETAILS
  • Has the patient been seen at Pillbox Hill Medical Center in the past?
    • [] Yes
    • [X] No
    Does the patient have a diagnosis?
    • [] Yes
    • [X] No
    If so, please describe:
    ANSWER (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.)
    I have serious psychological problems, due to a certain incident.
    After this happened, I was referred by a friend to Doctor Sade Aliz,
    who in turn referred me online to the "Request an appointment" website.


    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.)
    • [X] 25/JUN/2022 - 20:00 : 03:00
      [X] 26/JUN/2022 - 16:00 : 03:00
      [X] 27/JUN/2022 - 16:00 : 03:00
      [] 28/JUN/2022 - 16:00 : 03:00
      [] 29/JUN/2022 - 16:00 : 03:00
      [] 30/JUN/2022 - 16:00 : 03:00
      [] 01/JUL/2022 - 16:00 : 03:00
    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.)
    Sade Aliz, Psy.D.
Sade Aliz
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Re: [PSYCHOLOGY] NAOMI KANSAKI

Post by Sade Aliz »

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Dear Ms. Naomi Kansaki,

Thank you for reaching out to us and for your request.

My earliest available date would be July 6th or July 7th at 17:00. Please let me know if either of these dates work for you.

If you would like to meet earlier, please let me know and I will match you up with another of our caring professionals.

Kind regards,
Dr. Sade Aliz
Psychology Department
Pillbox Hill Medical Center
Riley Gallagher
Attending Physician
Attending Physician
Posts: 110
Joined: Sat Jun 25, 2022 5:17 pm
Location: Germany

Re: [PSYCHOLOGY] NAOMI KANSAKI

Post by Riley Gallagher »

Dear Dr. Sade Aliz,

thank you for responding. Both dates work for me. July 6th suits me better,
though, since it's earlier. So I would be glad if we could settle on that one.

Sincerely greetings
Naomi Kansaki
Sade Aliz
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Re: [PSYCHOLOGY] NAOMI KANSAKI

Post by Sade Aliz »

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Dear Naomi Kansaki

We have received and reviewed your request and we are delighted to inform you that your appointment is scheduled on 06/JUL/2022 at 17:00 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,
Sade Aliz
Hall of Fame
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Re: [PSYCHOLOGY] NAOMI KANSAKI

Post by Sade Aliz »

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Dear Ms. Naomi Kansaki,

Please update your times and dates of availability to match you with one of our caring professionals immediately.

Kind regards,
Dr. Sade Aliz
Psychology Department
Pillbox Hill Medical Center
Sade Aliz
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Re: [PSYCHOLOGY] NAOMI KANSAKI

Post by Sade Aliz »

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Dear Naomi Kansaki

Thank you for reaching out to us and for your request. As advised my earliest available appointment is 21/JUL/2022 at 17:00.

Per your request, you have confirmed this time slot.

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,
Sade Aliz
Hall of Fame
Hall of Fame
Posts: 391
Joined: Sun Mar 13, 2022 4:23 pm

Re: [PSYCHOLOGY] NAOMI KANSAKI

Post by Sade Aliz »

Sorted.
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