//Medical
PATIENT MEDICAL HISTORY
Name: The Midnighter
Age: mid-30s - patient is uncertain
Sex: male
Height: 6' /183 cm
Weight: 250 lbs/ 113 kg
[ ] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
Human
Average Lifespan: 90-95 years
Rate of Maturity: ~18 years
Average age of Puberty: Onset at 12 years
Normal Diet: Standard human dietary needs. Find full documentation [here].
Common Ailments: Colds, fevers, poxes. See file on [Common Human Illnesses].
Specific Notes: None
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: [ ] Fine | [ ] Near Sighted | [ ] Far Sighted | [x] Enhanced
If Enhanced, further explain: Better than 20/20 visual acuity, enhanced low-light vision
Hearing: [ ] Deaf | [ ] Low | [ ] Average | [ ] High Range | [ ] Low Range | [x] Extremely Sensitive
If necessary, further explain: Patient can control sound thresholds, as well as filter and pinpoint noise sources
Smell: [ ] Cannot Smell | [ ] Low | [ ] Average | [x] 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?: High level of cybernetic and nanite modification.
Do you have a healing factor different from the average for your species? If so, explain how here: Yes; patient has higher pain and damage thresholds, and increased healing and immune response speed.
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)
Record of Past Injuries: Patient declined to list
Ship Health Records: N/A
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: No
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: No
Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: No