Hogan Bight -Medical Records
PATIENT MEDICAL HISTORY Name: Hogan Bight Age: 63 years Sex: Male Height: 6'3"/190.5 in/cm Weight: 188/85 lbs/kg [x] Magical by nature/practices magic. [ ] Can't have magic used on. [ ] Contagious (see notes). SPECIES NAME HERE Average Lifespan: 80 Rate of Maturity: 18 Average age of Puberty: 12
Normal Diet: Standard human dietary needs. Find full documentation [here].
Common Ailments: See file on [Common Human Illnesses].
Specific Notes: (healing factors, special needs, etc) GENERAL HEALTH All of the following sense-related questions are to be answered in comparison to an average Homo sapiens. Ask your medical provider for assistance in answering this section. Blood Pressure: [x] Average | [ ] Low | [ ] High Vision: [x] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced If Enhanced, further explain: Hearing: [ ] Deaf | [ ] Low | [x] Average | [x] High Range | [x] Low Range | [ ] Extremely Sensitive If necessary, further explain: Smell: [ ] Cannot Smell | [ ] Low | [x] Average | [ ] High | [ ] Extremely Sensitive If Extremely Sensitive, further explain: Known Allergies: None
Are there any potential complications with healing processes we should be aware of when treating you?: None
Do you have a healing factor different from the average for your species? If so, explain how here: No
Have you recently been screened for species, sex, and age specific cancer risks?: No
Special notes on care: (Such as contagious diseases/conditions, special means of handling, special care taken in handling) No
Record of Past Injuries: Only minor injuries and cuts.
Ship Health Records: None SEXUAL HEALTH Have you ever been sexually active?: Yes
Are you currently Sexually Active: No
Have you recently been screened for STIs?: No
Species specific sexually related health notes and/or issues: None Reproductive Health (skip if N/A) Date of Last Menses/Estrus/Equiv (skip if n/a):
Number of pregnancies:
Number of pregnancies carried to term:
Age of first birth/hatching/etc. (if applicable):
Total number of births/hatching/etc.: DRUGS AND MEDICATION Are you or should you be on any prescribed medication? If so, list below: No
Have you taken any recreational or non-prescribed drugs or substances in the past? Is so, please list them and their frequency of use below:
Alcohol, daily
Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: Alcohol, on occasion
Normal Diet: Standard human dietary needs. Find full documentation [here].
Common Ailments: See file on [Common Human Illnesses].
Specific Notes: (healing factors, special needs, etc) GENERAL HEALTH All of the following sense-related questions are to be answered in comparison to an average Homo sapiens. Ask your medical provider for assistance in answering this section. Blood Pressure: [x] Average | [ ] Low | [ ] High Vision: [x] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced If Enhanced, further explain: Hearing: [ ] Deaf | [ ] Low | [x] Average | [x] High Range | [x] Low Range | [ ] Extremely Sensitive If necessary, further explain: Smell: [ ] Cannot Smell | [ ] Low | [x] Average | [ ] High | [ ] Extremely Sensitive If Extremely Sensitive, further explain: Known Allergies: None
Are there any potential complications with healing processes we should be aware of when treating you?: None
Do you have a healing factor different from the average for your species? If so, explain how here: No
Have you recently been screened for species, sex, and age specific cancer risks?: No
Special notes on care: (Such as contagious diseases/conditions, special means of handling, special care taken in handling) No
Record of Past Injuries: Only minor injuries and cuts.
Ship Health Records: None SEXUAL HEALTH Have you ever been sexually active?: Yes
Are you currently Sexually Active: No
Have you recently been screened for STIs?: No
Species specific sexually related health notes and/or issues: None Reproductive Health (skip if N/A) Date of Last Menses/Estrus/Equiv (skip if n/a):
Number of pregnancies:
Number of pregnancies carried to term:
Age of first birth/hatching/etc. (if applicable):
Total number of births/hatching/etc.: DRUGS AND MEDICATION Are you or should you be on any prescribed medication? If so, list below: No
Have you taken any recreational or non-prescribed drugs or substances in the past? Is so, please list them and their frequency of use below:
Alcohol, daily
Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: Alcohol, on occasion