[EVAL] Raheme Bell

[Raheme Bell]

I. PATIENT INFORMATION

---

• Title: (select one)
  • [X] Mr.
  • [] Mrs.
  • [] Ms.
  • [] Other
  First Name:
  Raheme
  
  Middle Name: (optional)
  N/A
  
  Last Name:
  Bell
  
  Gender: (select one)
  • [X] Male
  • [] Female
  Date of Birth:
  01/03/1999
  
  Address:
  Palomino Ave, Los Santos
  

II. CONTACT INFORMATION

---

• Phone Number:
  58870491
  
  Email:
  ((Bell)) (( Include forum name in brackets ))
  
  (( Discord: ))
  ((Bell#2384))
  

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:
  N/A (N/A if the answer to the previous question is 'No')
  
  Reason for Appointment:
  I would like to obtain information on getting medical coverage set for my business so my team members can get insurance through the business
  
  Department:
  • [X] Medical
  • [X] Dental
  • [] Mental Health
  Dates & Times for Appointment:
  • [X] 05/03/2024 - 13:00
    [X] 06/03/2024 - 16:00
    [X] 07/03/2024 - 16:00
  Preferred Doctor for Appointment:
  No preference

[Kaden Malik]

• Dear Raheme Bell,
  
  We have received your evaluation request. An e-mail was sent to the provided e-mail address for booking purposes.
  Thank you for choosing Pillbox Hill Medical Center.
  
  Kind regards,
  Department of Internal Medicine
  Pillbox Hill Medical Center

[Kaden Malik]

• Dear Raheme Bell,
  
  Your request for an appointment has been placed in the archives as we have not received any response. Submit a new request if you want to schedule an appointment with one of our doctors in the near future.
  
  Thank you for choosing Pillbox Hill Medical Center. Stay safe and stay healthy. Your Health is our priority.