Post by atilla on Jul 10, 2012 12:06:29 GMT -5
Day, Atilla
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Name: Day, Atilla
Date of birth and age: October 31st, 16
Gender:Female
Previous Facility: Sunrise valley (England) & Pine hills adolesant instatutte for the metaly ill.
Time at the facility pending arrival here: on and off since she was a kid, but was in Pine hills for a year.
Previous Doctor: Dr J. Faraday
Current Medication:
Citilipram & sleeping tablets.
Birth father Name:
Elliot Day
Birth Mother Name:
Amelia Day
Diagnosed Disorder:
Post-traumatic stress disorder, depression & anxiety,
Blood Type:
O negative
Allergies:
Kiwi
Medical Condition:
Anaemia.
Current Medication:
Iron vitamin tablets.
Any surgeries in the last six months?
N/A
Patient presents with:
Symptoms/Behavioural disorder:
(Things your character does that would help identify their disorder)
History:
- Alcoholic parents?
- Drug Addicted Parents?
- Violent behaviours toward others?
- Explain in brief sentences what happened for your character to be the way they are
- Criminal records?
- Anger issues?
- Suicide attempts?
- Anything you might believe is important.
- Not a full history.
- Just brief pieces.
Signed: (guardian Name/Doctor Name/Parent name)
Out Of Character
Player name:
Player age:
Player Years of Experience:
Playby/Faceclaim Name:
How did you find us?