Carter Greyson/Medical Record

From 118Wiki
< Carter Greyson
Revision as of 06:28, 22 June 2014 by Zephyr (talk | contribs) (Added basic info for Carter. Will be adding more later.)
Jump to navigation Jump to search
Starfleet Medical.png

GREYSON, CARTER

MEDICAL RECORD
  • Height: 6'2"
  • Weight: 75 kilos
  • Blood Type: AB Negative
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 237005.05:
  • SD 237007.05:

PAST SURGICAL HISTORY

  • SD 237005.05:
  • SD 237007.05:

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status:
  • Children:
  • Occupation/Assignment:
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: