Kivik/Medical Record

	Kivik Patient Reference Number: JN - 081 - 294 Date of Birth: 236609.07 Age: 35 Sex: Androgynous Species: J'naii
		MEDICAL RECORD
	Height: 1.57 m (5'2") Weight: 55 kg (120 lb) Blood Type: T- T/E Rating: T0/E0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: Some pollens & barks (including Falla Bush) Sexual/Reproductive History: Declined to respond
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS 2379: Broken radius 2398: Levodian Flu 2398: Concussion PAST SURGICAL HISTORY None
	PSYCHIATRIC HISTORY Possible Anxiety Diagnosis SUBSTANCE USE HISTORY Alcohol: Alcohol ineffective on J'naii. Often ingests Chocolate; may have similar effect Recreation Drugs: None Other: Frequently ingests Caffeinated beverages
	FAMILY MEDICAL HISTORY Parent 1 (Mother): Not available (non-Federation citizen) Parent 2 (Father): Not available (non-Federation citizen) Siblings: Not available (non-Federation citizen)
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Science Officer Diet: Omnivore Exercise: Varied holodeck programs
	PHYSICIANS' NOTES USS Veritas - 239807.23 - Patient arrived for mandatory medical check in. Complaints of insomnia and anxiety. Suggested the patient keep a journal of these episodes. Referred nem to Lieutenant Toliver for therapy. Cleared for Service. - Lt. JG Ikaia Wong PA-C
	COUNSELORS' NOTES Pending