Health / Procedure Contract!

The Doctors health facility offers you an health contract by the successor and veteran in the health department. Projects and cases that you offer will be documented and checked if it is accepted or declined.

Throughout the progress, It is the Doctors job to have your results as positive as it is able to do. Testing will be dealt with the Doctor throughout the amount of time that your specific requirement is needed for.

Please fill the following as much as possible.

• Name:
• Race:
• Gender:
• Age:
• Weight:
• Any cybernetics?:
• Any Mutations?:
• Any known sickness / Disabilities:
• Any known power?:
• Any Injuries, Scars:

Sign your name here XXXXXXXXXXXXXXXXX Guardians name or Yourself

Please be advised that we do not have permission if your Guardian says no to the goal that you want and will have to stop the upgrade / downgrade.

Your Health / Or Upgrade / Downgrade that you specifically want. [Results will vary] [If not] Leave it blank if you wish to leave the ideas to the more advanced from The Doctor as you will be guided and specified as a Special Case Subject. If you wish for that to happen check the box. [ ]

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This offer is to make yourself, Or allowing the Doctor to do so, Will engaged in a price to persuade The instructor to accept your following Goal. Please tell us / them what you're willing to offer for the exchange of your health's success!

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Thus giving The Doctor in the facility permission to plug and proceed the important health case on [Insert Name] with the given permission of the guardian or him/herself [Insert name], and not allowed to leave the procedure at any cost.

Date:

Signature