ICF  EVENT Patient Records

HTML BlockAttending Physician



ID031
SportWAKO Kickboxing
Event RoleAthlete
Representing CountryNetherlands
Passport Given NameMylo
Passport Family NameVan bakel
Responsible OrganizationICF
GenderMale
Date of Birth10/06/2012
Date of Treatment08/13/2023
Signature
New Patient1
Region
  • Thigh
Working Diagnosis

MPS

Therapy
  • Manipulation
  • Myotherapy
Return to Play1
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Patient Satisfaction Survey

(To be completed by patient)

Referred Tozero