For those of you who are new to the city, I put out a medical records form on the first of every month. Unfortunately, due to security issues, I'm going to have to ask people to start coming down to the hospital and filling them out in person rather than just answering over the communicators. We're sorry for the inconvenience, but despite how you
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Excuse me?
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[And he does go to the hospital to fill it out.]
1. What is your name? Almaz von Almadine Adamant
2. What species are you? Human
3. Name of place of origin? Earth, but before here I was at Evil Academy in the Netherworld.
4. What is your gender? Male.
5. What is your age? 18
6. Any allergies or special needs? No.
7. Medical history? I recently had my title stolen, but I'm not sure if that's a medical issue. And of course, well since this shall be strictly confidential I hope, I seem to be slowly turning into a demon.
8. Have you gotten sick since your arrival here? No/
9. Blood Type? A
10. Have you been here before? No.
A. If so, how long was your stay?
B. How long were you absent before coming back?
11. How many times have you died here? Died...? None.
12. Do you currently have your chip? Yes.
13. If not, then how long ago was it removed and by who?
14. What abilities do you possess? Normal weapon ( ... )
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1. What is your name? Okita, Souji
2. What species are you? Human
3. Name of place of origin? Edo, Niipon.
4. What is your gender? Male
5. What is your age? 22
6. Any allergies or special needs? Symptoms of Asthma mainly due to Tuberculosis.
7. Medical history? Tuberculosis, uncountable amounts of broken bones, and the flu along with the chicken pox twice.
8. Have you gotten sick since your arrival here? Yes.
9. Blood Type? ???
10. Have you been here before?Yes.
A. If so, how long was your stay? first time three days, second time about a month, third time also about a month.
B. How long were you absent before coming back? about....two to three months between.
11. How many times have you died here? twice.
12. Do you currently have your chip? yes.
13. If not, then how long ago was it removed and by who? -
14. What abilities do you possess? Sword Fighting?
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Can you speak or write in English?
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Only a few words, not adequate at all.
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I can't speak or write Japanese, but I'll find a translator.
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[He's already there, just fills it out when he can]
1. What is your name? Cube
2. What species are you? Demon
3. Name of place of origin? I've been many places, Demon World, Human World, Japan, Kingdom of Ercell, and some others
4. What is your gender? Male
5. What is your age? Unsure, I know I'm over 300 years of age
6. Any allergies or special needs? Nothing known as of present.
7. Medical history? Have flue and tetanus shots. Last November a wall collapsed onto me while in my canine form and caused a concussion. I suffered from retrograde amnesia and believed myself to be a dog. It took nearly a month before I regained my identity. Most my memories have returned but the time right before and after the incident are still unclear to me.
8. Have you gotten sick since your arrival here? Once, aside from sickness of chip removal, I had a cold for a small while but recovered quickly.
9. Blood Type? Mazoku (Pure bred to best of my knowledge)
10. Have ( ... )
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Anything I can assist with or... are you fairing on your own?
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It's been a half hour and he still hasn't finished writing his name out properly. And it would be difficult for most people to take a half hour for a name like Death the Kid, but this child is managing it.]
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... Do you need help?
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No, I'm just making sure the letters are written properly.
[He honestly has no problems with spending days on this, though if she were to tell him to just dictate the information to her, he would.]
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It's fine; I can read it perfectly.
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