FICS

CSIT EVENT Patient Records

Attending Physicianjacques.botes1@hotmail.com
Event Name3-8 June - CSIT World Sport Games - Loutraki Greece
HTML BlockAttending Physician



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Patient Details
Medical Alert

Allergy- Nuts

NameLucky Star
Participants ID1234567890
Event RoleAthlete
Sport:Swimming
SexMale
Age22
Country of AccreditationGreece
Signature
Consent I agree to the Terms & Conditions
Date of Treatment31/05/2025
Evaluation
Evaluate Pain - NPS_PRE3
Pain Type
  • Acute
Region: Check all areas treated.
  • Ankle
Comments/Notes:

Feeling better

Treatment Provided
  • Mobilization
  • Tape
  • Other
OtherSoft tissue manipulation
Return to ActivityYes
Referred ToNA
Evaluate Pain - NPS_POST1