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
NameLars Domsich
Name
Passport name
Participants IDdomsaus
Participants ID
Responsible Organization
Responsible Organization
Event RoleAthlete
Sport:Ju-jhitsu
Event Role
Event Role
Sport
Sport
SexMale
Sex
Age21
Age
If minor
Country of AccreditationAustria
Country of Accreditation
Email Address
Email Address
Signature
Consent I agree to the Terms & Conditions
Date of Treatment18/03/2026
Evaluation
Evaluate Pain - NPS_PRE4
Injury Duration
  • Chronic
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 InjuryOveruse (gradual onset)
Region: Check all areas treated.
  • T-Spine
  • L-Spine
  • SI
Region: Other
Treatment Provided
  • Manipulation
Other
Treatment Provided:
Comments/Notes:
Return to ActivityNo
Referred ToNo
Referred to Whom?
Evaluate Pain - NPS_POST2