FICS

CSIT EVENT Patient Records

Attending PhysicianTrish Donoghue
Event Name3-8 June - CSIT World Sport Games - Loutraki Greece
HTML BlockAttending Physician



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Patient Details
Medical Alert

Hayfever
Tape allergy / latex

NameJohn Doe
Participants IDABC No1
Event RoleAthlete
Sport:Ju-jitsu
SexMale
Age25
Country of AccreditationCroatia
Email AddressEmail hidden; Javascript is required.
Signature
Consent I agree to the Terms & Conditions
Date of Treatment16/05/2025
Evaluation
Evaluate Pain - NPS_PRE6
Pain Type
  • Acute
Region: Check all areas treated.
  • Shoulder
  • Other
Region: OtherFinger
Treatment Provided
  • Myotherapy
  • Other
Return to ActivityYes
Referred ToNo
Evaluate Pain - NPS_POST2