FICS
CSIT EVENT Patient Records
| Attending Physician | mollie@naturalhealingdorset.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 | |
| Medical Alert | non consent for Cx adjusting fall during a warm up yesterday - bruised on the knees |
| Name | emily Bristow |
| Participants ID | 5119 |
| Event Role | Athlete |
| Sex | Female |
| Age | 53 |
| Country of Accreditation | Cyprus |
| Signature | |
| Consent |  I agree to the Terms & Conditions |
| Date of Treatment | 07/06/2025 |
| Evaluation | |
| Evaluate Pain - NPS_PRE | 5 |
| Pain Type |
|
| Region: Check all areas treated. |
|
| Treatment Provided: | SMT - T5-6 supine |
| Treatment Provided |
|
| Return to Activity | Yes |
| Referred To | NA |
| Evaluate Pain - NPS_POST | 1 |