Dissipation
06
Sam Parnell Home for Research and Rehabilitation
Name Aspen Mirch
Age 15
Race W
Status of Education B.A. Degree + Grad. Work
Father’s Name Brian Mirch
Address/Phone Number
542 Hospen Road Lansing, Michigan
0544-458-8524
Career Status Prof. Of English at local University
Co-founder of Genius, Inc.
Mother’s Maiden Name Julia Felton
Address/Phone Number (see above)
Career Status Co-founder of Genius, Inc.
Parents’ Marital Status M
Emergency Contact Brian Mirch
Emergency Contact Address/Phone Number (see above)
Previous Hospitalization?
None
Status at Admittance Involuntary
Impression at Admittance
Possible borderline personality
Diagnosis Subject totally uncooperative. Didn’t speak.
Signature
John Hegarty
Parent/Guardian Signature..............................Doctor’s Signature
Julia Mirch.............................................................John Hegarty
Name Aspen Mirch
Age 15
Race W
Status of Education B.A. Degree + Grad. Work
Father’s Name Brian Mirch
Address/Phone Number
542 Hospen Road Lansing, Michigan
0544-458-8524
Career Status Prof. Of English at local University
Co-founder of Genius, Inc.
Mother’s Maiden Name Julia Felton
Address/Phone Number (see above)
Career Status Co-founder of Genius, Inc.
Parents’ Marital Status M
Emergency Contact Brian Mirch
Emergency Contact Address/Phone Number (see above)
Previous Hospitalization?
None
Status at Admittance Involuntary
Impression at Admittance
Possible borderline personality
Diagnosis Subject totally uncooperative. Didn’t speak.
Signature
John Hegarty
Parent/Guardian Signature..............................Doctor’s Signature
Julia Mirch.............................................................John Hegarty