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Admin Admin
Posts : 4 Join date : 2011-12-20
| Subject: 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:
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[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
| Subject: 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
| Subject: 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
| Subject: 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
| Subject: 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
| Subject: 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
| Subject: 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
| Subject: 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
| Subject: Re: Sign In Tue Mar 06, 2012 1:31 pm | |
| Claiming a noob < u >
Johannesburg, South Africa / Johannes 'Jozi' Smit | |
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