HCU Medical Request Form

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Please fill in this form if you need do need any type of medical help from a member of the hospital care unit! Please fill this in as detailled as possible.

Full Name *

What's your in game name

Phone Number *

Please provide your In game phone number for contact purposes. EG 123-4567

Social ID *

(//Character ID)

What is your need? *

Disability - Get a disability card or/and a disability scooter, the medics will also guide you through your disability process. Court order - this is for lawyers only or for people in a court case. Assessment - Get checked over for something. Rehab - Rehabilitation program to stop using drugs/narcotics/addictions

Disability

Court Order (Solicitor/Judge only)

Assessment (Physical/Mental Health)

Rehab

Maternity

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