[PSYCHOLOGY] RINA KANDA

[Rina Kanda]

I. PATIENT INFORMATION

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• Title: (select one)
  • [] Mr.
  • [] Mrs.
  • [x] Ms.
  • [] Other
  First Name:
  Rina
  
  Middle Name: (optional)
  -
  
  Last Name:
  Kanda
  
  Gender: (select one)
  • [] Male
  • [x] Female
  Date of Birth:
  17/05/1998
  
  Address:
  3402 Magellan Ave - Floor 5, Room 8
  
  ZIP / Postal Code:
  ((N/A))
  

II. CONTACT INFORMATION

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• Phone Type: (select one)
  • [x] Mobile
  • [] Home
  • [] Work
  • [] Other
  Phone Number:
  63938578
  
  Email:
  [email protected] (( khaydarin ))
  

III. APPOINTMENT DETAILS

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• 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:
  N/A
  
  Reason for Appointment: Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.)
  Psychological evaluation following episodes of neurosis and if possible, treatment.
  
  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.)
  • [] 1/12/2022 - 15:00 to 20:00
    [] 3/12/2022 - 12:00 to 20:00
    [] 4/12/2022 - 12:00 to 20:00
  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.)
  None

[Sade Aliz]

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Dear Ms Rina Kanda

We have received and reviewed your request. Thank you for reaching out to us. Please state a generalized reason for your appointment and availability over the next seven days. We will promptly get you matched up to and scheduled with one of our caring professionals.

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

[Rina Kanda]

((Amendments made to the application.))

[Felicity Scott]

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• Dear Ms Kanda,
  
  We have received and reviewed your request and we are delighted to inform you that your appointment is scheduled on 03/12/2022 at 12 PM with Dr. Felicity Camile Scott. Please make sure to:
  
  1. Park your vehicle in 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,
  Doctor Felicity Camile Scott, Psychologist
  Department of Mental Health Services
  Pillbox Hill Medical Center
  
  

[Mikey Lions]

SORTED.