Medical Form: Tarrant
PATIENT MEDICAL HISTORY
Name: Gerald Tarrant
Age: Approximately 1,000 years
Sex: male
Height: 72 inch/182.9 cm
Weight: 160 lbs/72.6 kg
[x] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
UNDEAD
Average Lifespan: N/A
Rate of Maturity: N/A
Average age of Puberty: 13
Normal Diet: Human fear. Human blood is an acceptable temporary substitute.
Common Ailments: N/A
Specific Notes: Must be kept out of direct sunlight. Capable of rapid tissue regeneration after sun exposure.
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: [ ] Average | [x] 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 | [ ] Average | [x] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
Known Allergies: Sunlight
Are there any potential complications with healing processes we should be aware of when treating you?: I would be best served if you would avoid attempting to heal me at all by magical means. You would likely do far more harm than good.
Do you have a healing factor different from the average for your species? If so, explain how here: No. However, I am capable of regenerating damage sustained to my body.
Have you recently been screened for species, sex, and age specific cancer risks?: N/A
Special notes on care: If severely damaged, a steady supply of human blood will aid the healing process
Record of Past Injuries: (a long and extensive 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: N/A
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