FICS
TWG EVENT Patient Records
| Attending Physician | Tina Wu |
|---|---|
| Event Name | 7-17 August - TWG The World Games - Chengdu, China |
| HTML Block | Attending Physician |
| Would you like to update an existing patient record or create a new patient entry? | Submit New Patient Ticket |
| Patient Details | |
| Medical Alert | testing |
| Name | Homer Simpson |
| Participants ID | 12345 |
| Event Role | Athlete |
| Sport: | kickboxing |
| Sex | Male |
| Age | 100 |
| Country of Accreditation | United States |
| Email Address | Email hidden; Javascript is required. |
| Signature | |
| Consent | I agree to the Terms & Conditions |
| Date of Treatment | 20/07/2025 |
| Evaluation | |
| Evaluate Pain - VAS_PRE | 6 |
| Pain Type |
|
| Region: Check all areas treated. |
|
| Treatment Provided: | Gonstead pull - side posture AS IN ilium. Cerivcal supine diversified C6 Right |
| Comments/Notes: | testing |
| Treatment Provided |
|
| Return to Activity | Yes |
| Referred To | Yes |
| Referred to Whom? | Xrays |
| Evaluate Pain - VAS_POST | 5 |
I agree to the Terms & Conditions