Chip Removal Request Form
I, Dr. Eirin Yagokoro, place up this post to state that I am capable of performing the surgical procedure needed to remove the modifier/limiter microchip that is in patients placed in Discedo, placed in what we have labled as the "Fourth Location".
However, I do have some stipulations. A person undergoing the procedure that chooses, or is forced to choose, myself as the surgeon will have to undergo a full medical examination prior to surgery. This is, of course, purely for observational data.
Please fill out the following form:
Name:
Current State of Health:
Emergency Contact Frequency: This is the person we should contact in the unfortunate event of an emergency
What abilities will be unlocked: This is very important. Please do not lie to us.
I look forward to our mutual cooperation.
However, I do have some stipulations. A person undergoing the procedure that chooses, or is forced to choose, myself as the surgeon will have to undergo a full medical examination prior to surgery. This is, of course, purely for observational data.
Please fill out the following form:
Name:
Current State of Health:
Emergency Contact Frequency: This is the person we should contact in the unfortunate event of an emergency
What abilities will be unlocked: This is very important. Please do not lie to us.
I look forward to our mutual cooperation.