OCT 18th- Site Opening
Patient Application
5 posters
Page 1 of 1
Patient Application
Name:
Character Name:
Character Face:
Diagnosis:
Duration of Illness: (if they are already in Saving Grace from the start, how long have they been there? Erase if not applicable)
Character Name:
Character Face:
Diagnosis:
Duration of Illness: (if they are already in Saving Grace from the start, how long have they been there? Erase if not applicable)
- Code:
[b]Name:[/b]
[b]Character Name:[/b]
[b]Character Face:[/b]
[b]Diagnosis:[/b]
[b]Duration of Illness:[/b] (if they are already in Saving Grace from the start, how long have they been there? Erase if not applicable)
Samantha James- Admin
- Posts : 22
Join date : 2009-10-16
Age : 32
Location : North Carolina
Re: Patient Application
Name: Samantha
Character Name: Jordan Lennox
Character Face: Adam Copeland
Diagnosis: Pneumonia
Duration of Illness: 2 weeks prior to admittance
Character Name: Jordan Lennox
Character Face: Adam Copeland
Diagnosis: Pneumonia
Duration of Illness: 2 weeks prior to admittance
Jordan Lennox- Patient
- Posts : 510
Join date : 2011-10-18
Re: Patient Application
accepted
Samantha James- Admin
- Posts : 22
Join date : 2009-10-16
Age : 32
Location : North Carolina
Re: Patient Application
Name: Sami
Character Name: Raven Wyatt
Character Face: Criss Angel
Diagnosis: Multiple injuries from a motorbike accident (will decide exactly what later)
Duration of Illness: n/a just yet
Character Name: Raven Wyatt
Character Face: Criss Angel
Diagnosis: Multiple injuries from a motorbike accident (will decide exactly what later)
Duration of Illness: n/a just yet
Casey Johnson- Attending
- Posts : 3
Join date : 2011-10-18
Age : 32
Location : Aussie
Re: Patient Application
Name: Mattie
Character Name: Carter Davidson
Character Face: Jeff Hardy
Diagnosis: Hiv positive
Duration of Illness: Two years
Character Name: Carter Davidson
Character Face: Jeff Hardy
Diagnosis: Hiv positive
Duration of Illness: Two years
Danny Lennox- Admin
- Posts : 504
Join date : 2011-10-18
Re: Patient Application
Name: Samantha
Character Name: Lorelai Evelyn Larson
Character Face: Jennifer Damiano
Diagnosis: Non-Hodgkins Lymphoma
Duration of Illness: 1 1/2 years
Character Name: Lorelai Evelyn Larson
Character Face: Jennifer Damiano
Diagnosis: Non-Hodgkins Lymphoma
Duration of Illness: 1 1/2 years
Lorelai Larson- Patient
- Posts : 72
Join date : 2012-05-14
Re: Patient Application
Accepted
Samantha James- Admin
- Posts : 22
Join date : 2009-10-16
Age : 32
Location : North Carolina
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