Patient Application: Eilfie Smith

Go down

Patient Application: Eilfie Smith Empty Patient Application: Eilfie Smith

Post  eilfie on Sat Aug 11, 2012 4:04 pm

Name: Eilfie Smith
Gender: Female
Species: Human
Age: 19
DOB: 10/21
Height: 5'6"
Weight: 135lbs

Symptoms: Bi-polar (more depressive than manic); anxiety (does not like to be touched; fears large crowds, large bodies of water, and loud noises).
Biography: Parents died in a drunk driving accident on a back road in their town of Mary Ester, Florida; she was at home with her mother's best friend at the time (she was only 5 years old). Was bounced around from foster home to foster home after her grandparents gave her up to the state. Was handed over to the mental health clinic after she was diagnosed and remained stationary in one foster home until she turned 18. After that, the state turned her over to EHMH.
Medical History: Has seasonal allergies: gets sick twice a year; once in the spring and once in the fall.

Has your character been referred by a court ruling?: Yes
If so, Why?: After she became of age, the mental clinic turned her over.

Has your character been previously diagnosed with any mental or health illnesses?: Yes
If so, what? Was diagnosed at the age of 15 with bi-polar

Has your character been known to harm them self or others (or both)?: No

Anything else? (Questions, comments, concerns, anything you think we need to know about your character IC and/or OOCly): I just need a postpone on the rp assessment until tomorrow afternoon after my shift at work. Thank you!


Posts : 1
Join date : 2012-08-11

View user profile

Back to top Go down

Back to top

- Similar topics

Permissions in this forum:
You cannot reply to topics in this forum