[PSYCHOLOGY] Kara Bustamante

[Kara Bustamante]

I. PATIENT INFORMATION

---

• Title: (select one)
  • [] Mr.
  • [] Mrs.
  • [x] Ms.
  • [] Other
  First Name:
  Kara
  
  Middle Name: (optional)
  
  
  Last Name:
  Bustamante
  
  Gender: (select one)
  • [] Male
  • [x] Female
  Date of Birth:
  03/04/2002
  
  Address:
  195 Spanish Avenue - Floor 4, Room 1
  
  ZIP / Postal Code:
  55555
  

II. CONTACT INFORMATION

---

• Phone Type: (select one)
  • [x] Mobile
  • [] Home
  • [] Work
  • [] Other
  Phone Number:
  38457170
  
  Email:
  [email protected] [purplehuman]
  

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?
  • [x] Yes
  • [] No
  If so, please describe:
  Kara Bustamante has been diagnosed with Autism and Schizophrenia in the past.
  
  Reason for Appointment: Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.)
  Kara has been having several episodes because of her schizophrenia. She is at risk of harming herself or others due to her "hunting against the Krollians". She describes them as aliens that come from space to exterminate humans. Note: This application was made by a friend, because Kara doesn't know how to fill this. All of this was made based on her answers.
  
  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] 06/08/2022 - All Day
    [x] 07/08/2022 - After 14:00
    [x] 08/08/2022 - All Day
  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]

---

Dear Kara Bustamante

Thank you for reaching out to us. We have received and reviewed your request.

Our next availability is August 13th, August 14th, and August 17th. Please advise if you will be available at any time on these dates (not limited to, but preferably between 16:00 and 19:00) or if you need additional dates.

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

[Kara Bustamante]

Hello, Dr. Aliz:

Kara Bustamante has accepted to be there on August 13th at the mentioned time (16:00). Thank you.

[Sade Aliz]

---

Dear Kara Bustamante

We have received and reviewed your request and we are delighted to inform you that your appointment is scheduled on 13/AUG/2022 at 16:00 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,