Patient Form

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Here is for all of you who would like to apply as a patient,
(Also you can pm the answers if you would not like them in the comments.)

1. Is there any specific reasons you are joining? If so and you don't want to share just put yes.

2. Is their personally somebody who you would like to speak with?

3. How often are you usually online?

Just btw, we will not share any info, unless you would like us too.

4. What would you like to be called?

5. Is there anything special you would like to share?

6. Whats your age?

7. And this is for questions, if you have any questions please place in comments. We will try to get to them all.

Rules:
[We will not at any time give any information about you or anything you say without your permission]

[You only have to share what you are comfortable with sharing.]

[You can talk about anything and we can find someone for you to talk to, and they are allowed to listen and give advice.]

[If anything is more serious, please look at the numbers in this accounts description.]

Just in case you don't here it often and need to here it,
Love you all!  ❤️

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⏰ Last updated: Mar 31, 2020 ⏰

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