Pillbox Hill Medical Center

I. PATIENT INFORMATION

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• Title: (select one)
  • [ ] Mr.
  • [ ] Mrs.
  • [✗] Ms.
  • [ ] Other
  First Name:
  Chloe
  
  Middle Name: (optional)
  Louise
  
  Last Name:
  Hill
  
  Gender: (select one)
  • [ ] Male
  • [✗] Female
  Date of Birth:
  16/10/1985
  
  Address:
  N/a / Homeless
  
  ZIP / Postal Code:
  N/a / Homeless
  

II. CONTACT INFORMATION

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• Phone Type: (select one)
  • [✗] Mobile
  • [ ] Home
  • [ ] Work
  • [ ] Other
  Phone Number:
  7505
  
  Email:
  [email protected] (( World Prop ))
  

III. APPOINTMENT DETAILS

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• Has the patient been seen at Pillbox Hill Medical Center in the past?
  • [✗] Yes
  • [ ] No
  Does the patient have a diagnosis?
  • [✗] Yes
  • [ ] No
  If so, please describe:
  Schizophrenia / Schizoaffective, Depression
  
  Reason for Appointment: Please let us know why the patient needs this appointment. (i.e. symptoms or part of the body that is affected.)
  I will start with an apology to the staff at this hospital, as in the past it seems I caused trouble here. This was a long time ago now, especially for me. I am on a course of medication to help what I'm dealing with, and I am feeling better than who I was. I would like to see someone here, and have a place where I can feel comfortable if need be, and for some people to understand what's going on inside my head, as sometimes I'm even lost on that. I've tried reaching out before, but it hadn't gotten anwhere and I'm trying to make the right steps to becoming a better person, especially since I have children now. I am worried that if I don't seek the right help, things may fall out of my control again, and I really do try my best. I'm looking for someone I can regularly visit and go through my problems with, and get things back on track.
  
  Is this condition or injury related to work?
  • [ ] Yes
  • [✗] No
  Is this condition or injury related to an auto accident?
  • [ ] Yes
  • [✗] No
  Department:
  • [ ] Medical
  • [✗] 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.)
  • 27th / Friday: 4pm onwards to 2am approx.
    28th / Saturday: not available or available very later on (10pm onwards)
    29th / Sunday: availability the same as Friday
    30 th / Monday etc. the same onwards as the Friday times
    
    I can probably make myself available for anything, my schedule is rather fluid.
    etc. the same onwards.
  Preferred Doctor for Appointment:
  Someone 'on the level', someone who's not condescending. A person I can be real with, talk to like a friend.

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Dear Chloe Hill

We have received and reviewed your request. I appreciate your patience. We are working to confirm your appointment with one of our caring professionals.

Kind regards,

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Dear Ms. Hill,

We have received and reviewed your request and we are delighted to inform you that your appointment is scheduled on 07/FEB/2023 at 17:00 with Dr. Mikey Lions. 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.

If you won't be able to make it, please notify it beforehand so we can save this time slot for other patient who may need it.

Kind regards,

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Dear Ms. Hill,

Your appointment is rescheduled to 08/FEB/2023 at 17:00 with Dr. Mikey Lions. 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.

If you won't be able to make it, please notify it beforehand so we can save this time slot for other patient who may need it.

Kind regards,

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Dear Ms. Hill,

The appointment has not been attended from your side. If you are still interested on having an appointment with our department, feel free to update your availability again. If the next appointment is again unattended without previous notice, the appointment request will be considered as handled.

Kind regards,