FICS
CSIT EVENT Patient Records
| Attending Physician | sebastien.robidoux@uqtr.ca |
|---|---|
| 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? | Passport/Surname |
| Search via Name | Victor Riqelmr |
| Patient Details | |
| Medical Alert | L shoulder pain on abduction to 90 degrees with numbness around armpit |
| Name | Victor Bonilla |
| Participants ID | 1234 |
| Event Role | Swimming |
| Sport | Swimming |
| Sex | Male |
| Age | 46 |
| Country of Accreditation | Mexico |
| Email Address | Email hidden; Javascript is required. |
| Signature | |
| Consent |  I agree to the Terms & Conditions |
| Date of Treatment | 06/06/2025 |
| Evaluation | |
| Evaluate Pain - NPS_PRE | 5 |
| Pain Type |
|
| Region: Check all areas treated. |
|
| Treatment Provided |
|
| Return to Activity | Yes |
| Referred To | No |
| Evaluate Pain - NPS_POST | 3 |