ICF EVENT Patient Records
| HTML Block | Attending Physician |
|---|---|
| Attending Physician | Christian Calvert |
| ID | 021 |
| Sport | WAKO Kickboxing |
| Event Role | Athlete |
| Representing Country | Germany |
| Passport Given Name | Bossack |
| Passport Family Name | Jörg |
| Responsible Organization | ICF |
| Gender | Male |
| Date of Birth | 10/19/1971 |
| Date of Treatment | 08/10/2024 |
| Signature | |
| Terms & Conditions |  I agree to the Terms & Conditions |
| New Patient | 1 |
| Pain Type |
|
| Region |
|
| Working Diagnosis | Joint dysfunvtion |
| Therapy |
|
| Return to Play | 1 |
| HTML Block | Patient Satisfaction Survey(To be completed by patient) |
| Referred To | zero |