I. PATIENT INFORMATION
- Title: (select one)
- [] Mr.
- [] Mrs.
- [X] Ms.
- [] Other
Blair
Middle Name: (optional)
Marie
Last Name:
Channing
Gender: (select one)- [] Male
- [X] Female
05/AUGUST/1999
Address:
211 Alta Pl
II. CONTACT INFORMATION
- Phone Number:
66451011
Email:
[email protected](( KussArsch ))
(( Discord: ))
regretbxtch
III. APPOINTMENT DETAILS
- Has the patient been seen at Pillbox Hill Medical Center in the past?
- [X] Yes
- [] No
- [X] Yes
- [] No
Pregnancy - 26-27 Weeks
Reason for Appointment:
Pregnancy check up. Experiencing some stomach pains, but the baby kicks a lot, so probably normal.
Department:- [X] Medical
- [] Dental
- [] Mental Health
- Depends on the day, but usually anything past 11PM. I can't do Saturday.
Dr. Yonescu did my previous appointments, but any OBGYN is fine.