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Admin
Admin


Posts : 4
Join date : 2011-12-20

PostSubject: Sign In   Tue Dec 20, 2011 4:40 pm

Please sign in (claim) here. Patients must include their name and location from which they were admitted. After signing in, please fill out a personal information form and submit it to the registrar.


PERSONAL INFO FORM:

Code:
[font=Courier New][b]1. INSTITUTION:[/b] Bedlam Hospital
[b]2. LAST NAME/FIRST NAME/MIDDLE INITIAL:[/b]
[b]3. SEX:[/b]
[b]4. RELIGION:[/b]
[b]5. MARITAL STATUS:[/b]
[b]6. AGE AT ADMISSION:[/b]
[b]7. LEGAL STATUS AT ADMISSION:[/b]
[b]8. LOCATION FROM WHICH ADMITTED:[/b]
[b]9. EDUCATION:[/b]
[b]10. USUAL OCCUPATION:[/b]
[b]11. ESTABLISHED DIAGNOSIS, MENTAL DISORDER:[/b]
[b]12. ESTABLISHED DIAGNOSIS, OTHER CONDITIONS:[/b]
[b]13. WARD:[/b]
[/font]

For patients who cannot remember what their diagnosis is, please refer to this list of mental and behavioral disorders.


((EDIT: By the way, there is no need to wait for apps to be approved, or anything. I mean, we all know each other. It's not necessary. :I))


Last edited by Admin on Tue Dec 20, 2011 7:44 pm; edited 1 time in total
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nahn-SEK-wuh-tuhr



Posts : 83
Join date : 2011-12-20

PostSubject: Re: Sign In   Tue Dec 20, 2011 5:06 pm

Piter Petrovich/Saint Petersburg, Russia
Sofia Rostislavivna/Chernobyl, Ukraine
Itakshir/Iturup Island, Russia
Diederik van Aemstel/Amsterdam, the Netherlands
Niels van den Haag/The Hague, the Netherlands
Darya Nankali/Abadan, Iran

Obviously, there is no character limit. :P
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bubbelah



Posts : 79
Join date : 2011-12-20

PostSubject: Re: Sign In   Tue Dec 20, 2011 7:55 pm

Vienna, Austria/ Franziska Schuetzenuer
Odessa, Ukraine/ Vesna Giravivna
Transnistria, PMR/ Cosim Zahorchak
Jakarta, Indonesia/ Citra Inda Batavaputri
Rotterdam, the Netherlands/ Ambroos Van Der Haven
Republic of Moldova/ Dimitrie Ionescu
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Mochi



Posts : 2
Join date : 2011-12-21

PostSubject: Re: Sign In   Wed Dec 21, 2011 2:48 pm

Kang Chong Hwa/Chongjin, North Korea
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SnowMex



Posts : 8
Join date : 2011-12-21

PostSubject: Re: Sign In   Wed Dec 21, 2011 3:25 pm

Love anything having to do with medical oddities and mental health, can't resist--

Nicoleta Ionescu/Romania
Crina Székely(It is a surname too, shoosh-) /Transylvania, Romania

Might app more..
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Vitriolic



Posts : 26
Join date : 2011-12-21

PostSubject: Re: Sign In   Wed Dec 21, 2011 3:33 pm

Ohohoho-- /cracksknuckles /SHOT

Venice, Italy / Zorzi Marexèło
Genoa, Italy / Giuiliano Obertenghi
Berlin, Germany / Dietrich Rothschild
Stockholm, Sweden / Erik Von Mälaren
Moscow, Russia / Viktor Dolgoruky Iwillevendecideonalastnameforhim.
London, England / Anthony Black
Gomel, Belarus / Matrona Gomulka

MAY AS WELL JUST EDIT THIS RATHER THAN DOUBLE POSTING--

Sicily, Italy / Calogero Moretti
Kyoto, Japan / Kyou Fujiwara
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Vitriolic



Posts : 26
Join date : 2011-12-21

PostSubject: Re: Sign In   Sun Jan 01, 2012 7:37 am

No wait Forget Sicily |B

Bruges, Belgium / Jan Vervloet

/CHANGESMINDFOREVER
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nahn-SEK-wuh-tuhr



Posts : 83
Join date : 2011-12-20

PostSubject: Re: Sign In   Mon Feb 13, 2012 12:02 am

Ciudad Juárez, Mexico/María Cruz Juárez Oñate
Achaemenid Empire-Iranian Cultural Continent/"Amir" Jamshid Hakhamaneshiani

Revamping some old faces. B)
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Vitriolic



Posts : 26
Join date : 2011-12-21

PostSubject: Re: Sign In   Tue Mar 06, 2012 1:31 pm

Claiming a noob < u >

Johannesburg, South Africa / Johannes 'Jozi' Smit
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