JJIF EVENT Patient Records

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



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Patient Details
Medical Alert
Medical Alert
NameMichele Russo
Name
Passport name
Participants IDrussITA
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 Treatment18/03/2026
Evaluation
Evaluate Pain - NPS_PRE6
Injury Duration
  • Acute
When did the injury occur?During competition
Sport TypeIndividual sport
Specify the round and heat or group (optional)Please Select
Injury Location – Body PartPlease Select
Injury CategoryPlease Select
Cause of InjuryPlease Select
Region: Check all areas treated.
  • Elbow
Region: Other
Treatment Provided
  • Mobilization
  • Myotherapy
  • Tape
Other
Treatment Provided:
Comments/Notes:
Return to ActivityYes
Referred ToNA
Referred to Whom?
Evaluate Pain - NPS_POST2