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SEDATED MEDICAL - ONLINE ROLE PLAY REQUEST
*
Indicates required field
FIRST NAME
*
USERNAME / NICKNAME
*
EMAIL
*
PLEASE USE THE EMAIL LINKED TO YOUR MEMBERSHIP
YOUR PAYPAL EMAIL
*
THIS WILL HELP US IDENTIFY WHO YOU ARE WHEN YOUR TRIBUTE COMES THROUGH PAYPAL. WE DO NOT KEEP THIS INFO ON FILE.
YOUR PATIENT ROLE PLAY ID
*
IF YOU DO NOT HAVE YOUR PATIENT ID CONTACT US FOR ASSISTANCE INFO.SEDATEDMEDICAL@GMAIL.COM
MEMBERSHIP TIER
*
NOT A PATIENT..... YET
TRIAGE PATIENT
ER PATIENT
PRE-OP PATIENT
OR PATIENT
ICU PATIENT
TEAM MEMBER REQUESTED
*
THE DOCTOR ON CALL (ANY AVAILABLE)
GASNURSEJEN
DOCTORALEX
ENEMADOM
DAYS YOU'RE AVAILABLE
*
SUNDAY
Monday
Tuesday
Wednesday
Thursday
FRIDAY
SATURDAY
PLEASE ENSURE YOU'VE CHECKED THE AVAILABILITY OF THE TEAM MEMBER YOU'VE REQUESTED. CLICK ALL THAT APPLY
PREFERRED START TIME
*
NONE / ANY
9:00PM EST
9:30PM EST
10:00PM EST
10:30PM EST
11:00PM EST
SESSION DURATION
*
60 MINS (1 HR)
90 MINS (1.5 HR)
120 MINS (2 HRS)
30 MINS (SEE INFO)
YOUR DREAM SESSION EXPLAINED
DESCRIBE YOUR IDEAL SCENARIO IN AS MANY DETAILS AS YOU CAN. THE MORE DETAILS WE CAN GET FROM YOU ABOUT YOUR ROLE PLAY THRE BETTER AND MORE CUSTOMIZED TO YOU WE CAN MAKE IT.
IF YOU CANNOT INCLUDE ALL THE DETAILS IN THE SPACE PROVIDED PLEASE EMAIL THEM TO US INSTEAD BY CLICKING
HERE
.
THANK YOU
MY DREAM SESSION
*
PLEASE INDICATE YOUR DESIRES FOR A YOUR ONLINE SESSION. FOR EXAMPLE: SUB/DOM/SWITCH ETC. ARE YOU CD/TV, ARE YOU ABDL? WHAT DO YOU LOVE MOST ABOUT MEDFET? WHAT PROCEDURES, INSTRUMENTS ETC DO YOU NEED MOST TO MAKE THE ONLINE SESSION FEEL A DREAM COME TRUE?
A STAFF MEMBER WILL REVIEW YOUR REQUEST AND GET BACK TO AS SOON AS HUMANLY POSSIBLE!
ONLINE ROLE PLAY SOCIAL MEDIA PLATFORM WILL BE DETERMINED BY OUR STAFF; BUT WE WILL CONSIDER YOUR
REQUEST PENDING APPROVAL YOU WILL RECEIVE AN EMAIL, PLEASE FOLLOW THE DIRECTIONS OUTLINED IN THE
EMAIL AND ENSURE YOU'VE SUBMITTED TRIBUTE OR INDICATED.
PLEASE BE AWARE WE MAY NOT BE ABLE TO
ACCEPT EVERY REQUEST, WE WILL DO OUR BEST. WE RESERVE THE RIGHT TO REFUSE SERVICE.
THANK YOU
SUBMIT MY REQUEST
OOPS WRONG CLICK SEND ME BACK
CONTENT & NEWS
NEW PATIENTS
>
REGISTRATION
JANUARY
>
ER JANUARY
OR JANUARY
ICU JANUARY
FEBRUARY
ARCHIVE
WINNERS
ZOOM
SURVEYS
CONTENT SURVEY
HELP
