Alexander Richards/Medical Reports

From 118Wiki
< Alexander Richards
Revision as of 01:28, 8 May 2014 by Alexander Richards (talk | contribs) (adding medical template)
Jump to navigation Jump to search
Note: This page is currently under construction.
This notice was placed here by Alexander Richards, so go bug them to finish the page if nothing's happening.


Navigation
MainFamilyQuartersPersonalProfessional
Academy TranscriptMedical ReportsCounseling Reports
Sim Archive 1Sim Archive 2


Starfleet Medical.png

LAST NAME, FIRST NAME MIDDLE NAME

MEDICAL RECORD
  • Height: 178 cm (5'10")
  • Weight: 73 kilos (160 lbs)
  • Blood Type:
  • T/E Rating:

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:



NPC Listing   ·   USS Gemini Crew Manifest   ·   Crew History
Roster-frost.jpg
Captain
Liam Frost
Roster-blair.jpg
First Officer
Alex Blair
Roster-Larson.jpg
Science Officer
Alana Larson
Roster-richards.jpg
Science Officer
Alexander Richards
Lan Riel.png
Counselor
Lan Riel
Kali2012b.jpg
Medical Officer
Kali Nicholotti
Roster-weston.jpg
Intel Officer
Oliver Weston
Roster-tmar.jpg
Mission Spec.
T'Mar
Roster-shayne.jpg
Helm Officer
Randal Shayne
Roster-blank.jpg
Engineering Officer
Inde
Atimen.jpg
Chief of Security
Nemitor Atimen
Roster-blank.jpg
Security Officer
Jonhar Mayne
GEsAleh.jpg
Tactical Officer
Gina EsAleh
MooreHeadTemp.jpg
Tactical Officer
Stephanie Moore
Edit This Nav