PATIENT MEDICAL HISTORY
Name: Jamie Hemeros
Age: approx. 18 yr
Sex: M
Height: 65 in
Weight: 125 lbs
[x] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
Human (Homo sapiens sapiens)
Average Lifespan: ~80 yrs.
Rate of Maturity: 18-22 yrs.
Average age of Puberty: ~11-14 yrs.
Normal Diet: Mess hall slop, meats, fruits, vegetables, grains, etc.
Common Ailments: See file on [Common human ailments]
Specific Notes: (healing factors, special needs, etc)
N/A
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 | [ ] High Range | [ ] 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?: No
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) N/A
Record of Past Injuries: Broken right arm, age 15, healed magically.
Ship Health Records: Infected by rage virus. Affected by Melting Clock; deaged to approx. 5 years of age before reversed.
SEXUAL HEALTH
Date of Last Menses/Estrus/Equiv (skip if n/a): N/A
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: N/A
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: Consumes alcohol infrequently; used tobacco during a mission.
Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: Consumes alcohol infrequently.
*It might be noted that Jamie freezes up and looks unsure of how to answer this question before responding. If pressed about it, he gets defensive and a little snappish and says he wasn't expecting to be quizzed on his sexual history.