Nexus Medical Database

Jun 03, 2006 00:12

Welcome! All Nexusgoers are encouraged to submit medical details so that in the event of an emergency (such as tribble invasion, fear gassing, cheerleader harassing, sudden genderswap, unexpected age change, ninja infestation, malicious wish granting, abduction with intent of marriage and/or ravishing, karaoke without consent, or 4th wall damages) your injuries may be attended to by medical professionals and/or experienced healers both quickly and competently. This information is accessible only to registered professionals/healers.

AVAILABLE PERSONNEL
Prospective patients are responsible for choosing their own doctor or practitioner, as well as arranging any payment options necessary. Your choices may be logged for purposes of convenience and efficiency in the event of a return visit. Comments or complaints about personnel may be filed with Liv anonymously, or attached to the personnel file with your name. ((I.e. comment to the personnel file with the complaint, or have Liv do it.))


Patient Registry Form:
Name:
Species:
Gender:
Blood Type:
Allergies:
Emergency Contact:
Other Notes:

Medical Professional/Healer Registry Form:
Name:
Species:
Gender:
Occupation:
Years of schooling:
Field of Study:
Certificates of Study:
Hours Available:
Other Notes:

((Put "Patient" or "Personnel" in the title, please. :3

If a question doesn't apply to your character, just leave it blank.))
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