FICS
CSIT EVENT Patient Records
| Attending Physician | jack kennedy |
|---|---|
| Event Name | 3-8 June - CSIT World Sport Games - Loutraki Greece |
| HTML Block | Attending Physician |
| Would you like to update an existing patient record or create a new patient entry? | Submit New Patient Ticket |
| Patient Details | |
| Name | Dylan Benitez |
| Participants ID | 012 |
| Event Role | Coach |
| Sport: | Mauy Thai |
| Sex | Male |
| Age | 54 |
| Country of Accreditation | Canada |
| Signature | |
| Consent |  I agree to the Terms & Conditions |
| Date of Treatment | 15/09/2025 |
| Evaluation | |
| Evaluate Pain - NPS_PRE | 5 |
| Pain Type |
|
| Region: Check all areas treated. |
|
| Treatment Provided: | C7B. t4. T7. L5B |
| Treatment Provided |
|
| Return to Activity | Yes |
| Referred To | No |
| Evaluate Pain - NPS_POST | 1 |