[PSYCHOLOGY] Annemarie Stallings

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Elliott Christensen
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[PSYCHOLOGY] Annemarie Stallings

Post by Elliott Christensen »

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

    Middle Name: (optional)
    N\A

    Last Name:
    Stallings

    Gender: (select one)
    • [] Male
    • [X] Female
    Date of Birth:
    06/JUN/2001

    Address:
    N/A

    ZIP / Postal Code:
    N/A

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

    Email:
    [email protected] ((root)) (( Include forum name in brackets ))

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:
    Undiagnoised, I know something is off with me.

    Reason for Appointment: Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.)
    Violent outbreaks, memory lose, suicide attempts

    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.)
    • [] 12/AUG/22- 17:00 to 21:00
      [] 13/AUG/22- 08:00 to 17:00
      [] 15/AUG/22- 08:00 to 17:00
      ((I'm busy IRL, and this roleplay is important for my character development and the relevant recent scenarios I had with her, reach me through discord at root#1000 to see if I'm currently available))
    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.)
    ANSWER
Sade Aliz
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Re: [PSYCHOLOGY] Annemarie Stallings

Post by Sade Aliz »

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Dear Annemarie Stallings,

We have received and reviewed your request. Thank you for reaching out to us. Please let us know your September availability, as dates we offered for August have expired.

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

Post by Sade Aliz »

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Dear Ms. Annemarie Stallings

Unfortunately, we have been unable to schedule your appointment as we have not heard back to confirm a date and time.

When you are ready, please feel free to request an appointment with one of our caring professionals.

Kind regards,
Dr. Sade Aliz
Psychology Department
Pillbox Hill Medical Center
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