| Attending Physician | Judy Ya-Tng HSU |
|---|
| Event Name | 12-15 March – TWIF Indoor Championships – Taipei, Chinese Taipei |
|---|
| HTML Block | Attending Physician
|
|---|
| Would you like to update an existing patient record or create a new patient entry? | Passport/Surname |
|---|
| Search via Name | |
|---|
| Search via Participant ID | |
|---|
| Patient Details | |
|---|
| Medical Alert | |
|---|
| Medical Alert | |
|---|
| Name | |
|---|
| Name | Yen Chen Chen |
|---|
| Passport name | |
|---|
| Participants ID | |
|---|
| Participants ID | Staff |
|---|
| Responsible Organization | |
|---|
| Responsible Organization | |
|---|
| Event Role | |
|---|
| Sport: | |
|---|
| Event Role | |
|---|
| Event Role | Staff |
|---|
| Sport | TWIF |
|---|
| Sport | |
|---|
| Sex | |
|---|
| Sex | Male |
|---|
| Age | |
|---|
| Age | 53 |
|---|
| If minor | |
|---|
| Country of Accreditation | |
|---|
| Country of Accreditation | Taiwan |
|---|
| Email Address | |
|---|
| Email Address | |
|---|
| Signature |  |
|---|
| Consent |  I agree to the Terms & Conditions |
|---|
| Date of Treatment | 13/03/2026 |
|---|
| Evaluation | |
|---|
| Evaluate Pain - NPS_PRE | 8 |
|---|
| Injury Duration | |
|---|
| When did the injury occur? | Other |
|---|
| Sport Type | |
|---|
| Specify the round and heat or group (optional) | |
|---|
| Injury Location – Body Part | Neck |
|---|
| Injury Category | Nerve injury / spinal cord injury |
|---|
| Cause of Injury | Please Select |
|---|
| Region: Check all areas treated. | - C-Spine
- T-Spine
- L-Spine
- Shoulder
|
|---|
| Region: Other | |
|---|
| Treatment Provided | - Manipulation
- Mobilization
- Myotherapy
|
|---|
| Other | |
|---|
| Treatment Provided: | |
|---|
| Comments/Notes: | |
|---|
| Return to Activity | Yes |
|---|
| Referred To | NA |
|---|
| Referred to Whom? | |
|---|
| Evaluate Pain - NPS_POST | 2 |
|---|
