FICS
CSIT EVENT Patient Records
| Attending Physician | dr.arritt@summitchiropractichealth.com |
|---|---|
| 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 | Eliacim Hernandez |
| Participants ID | 10056 |
| Event Role | Athlete |
| Sport: | American football |
| Sex | Male |
| Age | 42 |
| Country of Accreditation | Mexico |
| Signature | |
| Consent |  I agree to the Terms & Conditions |
| Date of Treatment | 05/06/2025 |
| Evaluation | |
| Evaluate Pain - NPS_PRE | 10 |
| Pain Type |
|
| Region: Check all areas treated. |
|
| Treatment Provided |
|
| Return to Activity | No |
| Referred To | Yes |
| Referred to Whom? | Paramedic for further evaluation |
| Evaluate Pain - NPS_POST | 7 |