JJIF EVENT Patient Records

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



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Patient Details
Medical Alert
Medical Alert
Namesalvatore ensabella
Name
Passport name
Participants IDensaita
Participants ID
Responsible Organization
Responsible Organization
Event RoleAthlete
Sport:JuJitsu
Event Role
Event Role
Sport
Sport
SexMale
Sex
Age19
Age
If minor
Country of AccreditationItaly
Country of Accreditation
Email Address
Email Address
Signature
Consent I agree to the Terms & Conditions
Date of Treatment14/03/2026
Evaluation
Evaluate Pain - NPS_PRE6
Injury Duration
  • Acute
When did the injury occur?During training
Sport Type
Specify the round and heat or group (optional)
Injury Location – Body PartChest / Ribs / Upper back
Injury CategoryMusculoskeletal Dysfunction
Cause of InjuryPlease Select
Region: Check all areas treated.
  • T-Spine
  • Shoulder
  • Elbow
Region: Other
Treatment Provided
  • Manipulation
  • Myotherapy
Other
Treatment Provided:
Comments/Notes:
Return to ActivityYes
Referred ToNo
Referred to Whom?
Evaluate Pain - NPS_POST3