TWIF EVENT Patient Records

Attending PhysicianJudy Ya-Tng HSU
Event Name12-15 March – TWIF Indoor Championships – Taipei, Chinese Taipei
HTML BlockAttending Physician



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Patient Details
Medical Alert
Medical Alert
Name
NameAna Smith
Passport name
Participants ID
Participants IDPaq008454
Responsible Organization
Responsible Organization
Event Role
Sport:
Event Role
Event RolePlayer
SportTug of war
Sport
Sex
SexFemale
Age
Age30
If minor
Country of Accreditation
Country of AccreditationSpain
Email Address
Email Address
Signature
Consent I agree to the Terms & Conditions
Date of Treatment13/03/2026
Evaluation
Evaluate Pain - NPS_PRE7
Injury Duration
  • Acute
When did the injury occur?During competition
Sport TypePlease Select
Specify the round and heat or group (optional)
Injury Location – Body PartChest / Ribs / Upper back
Injury CategoryStrain / muscle rupture / tear
Cause of InjuryOveruse (gradual onset)
Region: Check all areas treated.
  • T-Spine
  • L-Spine
  • SI
Region: Other
Treatment Provided
  • Manipulation
  • Mobilization
  • Myotherapy
Other
Treatment Provided:
Comments/Notes:
Return to ActivityYes
Referred ToNA
Referred to Whom?
Evaluate Pain - NPS_POST2