madfortea: (don't mess with tea)
Mad Hatter ([personal profile] madfortea) wrote2014-04-02 01:52 am

oh look, a serviette!

No. ### 2234391

Patient Admittance Form ### Asylum du Mal Idees



GIVEN NAME ###



Mad Hatter



AGE AND SEX ###



male, uncertain (appears in his 30s)



SPECIES ###



human



ORIGIN ###



Underland (Tim Burton's AiW movie)



FAMILY ###



none



OCCUPATION ###



hatter



FORM OF INSANITY ###



general psychosis



SUPPOSED CAUSE ###



mercury poisoning



INDICATIVE FACTORS ###



obvious due to profession



DANGEROUS TO OTHERS ###



no



DANGEROUS TO SELF ###



no



DESTRUCTIVE TO PROPERTY ###



occasional small items



STATE OF BODILY HEALTH ###



good



IDENTIFYING FEATURES (IF ANY) ###



none