JJIF EVENT Patient Records

Attending PhysicianTrish Donoghue
Event Name14-18 March – JJIF European Championships - Heraklion, Greece
HTML BlockAttending Physician



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Patient Details
Medical Alert
Medical Alert
NameJohn Doe
Name
Passport name
Participants ID12345
Participants ID
Responsible Organization
Responsible Organization
Event RoleAthlete
Sport:
Event Role
Event Role
Sport
Sport
SexMale
Sex
Age20
Age
If minor
Country of AccreditationAlgeria
Country of Accreditation
Email Address
Email Address
Signature
Consent I agree to the Terms & Conditions
Date of Treatment04/03/2026
Evaluation
Evaluate Pain - NPS_PRE7
Injury Duration
  • Acute
When did the injury occur?Please Select
Sport Type
Specify the round and heat or group (optional)
Injury Location – Body PartNeck
Injury CategoryStress fracture (overuse)
Cause of InjuryOveruse (gradual onset)
Region: Check all areas treated.
  • Head
  • T-Spine
  • Shoulder
Region: Other
Treatment Provided
  • Manipulation
  • Mobilization
Other
Treatment Provided:
Comments/Notes:
Return to ActivityYes
Referred ToNA
Referred to Whom?
Evaluate Pain - NPS_POST1