Vurdal/Medical Record

< Vurdal
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Crew of the USS Constitution-B

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Ensign Vurdal
Starfleet Medical.png

Vurdal

MEDICAL RECORD
  • Height: 6' 4" cm (191 cm)
  • Weight:
  • Blood Type:
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: HCO Officer
  • Diet: Balanced, High Protein
  • Exercise: Calisthenics, HIIT

PHYSICIANS' NOTES

  • SD 239004.23 - Medical Officer:
  • Medical Assessment:

  • SD 239004.27 - Medical Officer:
  • Addendum:

COUNSELORS' NOTES

  • SD 239004.28 - Counselor:
  • Counseling Assessment:


Starfleet Medical.png

Vurdal

PSYCHOLOGICAL RECORD
NOTICE: This personnel record and any attached reports are confidential and intended solely for the use of authorized officers of sufficient clearance. Violations of confidentiality are subject to punishment under the Federation Uniform Code of Justice.
COUNSELOR REPORT: SD 239002.24
  • Condition:
  • Counselor:
  • Counselor Notes:
  • Medical Notes: