TWIF EVENT Patient Records

Attending PhysicianDerek Archer
Event Name12-15 March – TWIF Indoor Championships – Taipei, Chinese Taipei
HTML BlockAttending Physician



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Patient Details
Medical Alert

test

Medical Alert
NameTest Test
Name
Passport name
Participants ID1234
Participants ID
Responsible Organization
Responsible Organization
Event RoleAthlete
Sport:tennis
Event Role
Event Role
Sport
Sport
SexFemale
Sex
Age21
Age
If minor
Country of AccreditationUnited Kingdom
Country of Accreditation
Email AddressEmail hidden; Javascript is required.
Email Address
Signature
Consent I agree to the Terms & Conditions
Date of Treatment11/12/2025
Evaluation
Evaluate Pain - NPS_PRE4
Injury Duration
  • Acute
When did the injury occur?During competition
Sport TypeIndividual sport
Specify the round and heat or group (optional)Quarter-final
Injury Location – Body PartShoulder / Clavicle
Injury CategoryStress fracture (overuse)
Cause of InjuryNon-contact trauma
Region: Check all areas treated.
  • Shoulder
Region: Other
Treatment Provided
  • Manipulation
Other
Treatment Provided:
Comments/Notes:
Return to ActivityYes
Referred ToNo
Referred to Whom?
Evaluate Pain - NPS_POST2