FICS
CSIT EVENT Patient Records
| Attending Physician | Jacques Botes |
|---|---|
| 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 | |
| Medical Alert | N/A |
| Name | Dominika Stejrova |
| Participants ID | 3026 |
| Event Role | Athlete |
| Sport: | Gymnastics |
| Sex | Female |
| Age | 16 |
| If minor | Mother |
| Country of Accreditation | Czechia |
| Signature | |
| Consent |  I agree to the Terms & Conditions |
| Date of Treatment | 05/06/2025 |
| Evaluation | |
| Evaluate Pain - NPS_PRE | 2 |
| Pain Type |
|
| Region: Check all areas treated. |
|
| Treatment Provided: | SIR SIL L1-L3RLF T5-T8 |
| Treatment Provided |
|
| Return to Activity | Yes |
| Referred To | NA |
| Evaluate Pain - NPS_POST | 0 |