Ben Livingston/Medical Record: Difference between revisions

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===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Alcohol:''' Occasional use
*'''Recreation Drugs:'''
*'''Recreation Drugs:''' None
*'''Other:'''
*'''Other:''' None
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===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:'''

Revision as of 02:16, 11 May 2014

Starfleet Medical.png

LIVINGSTON, BENJAMIN HAROLD

MEDICAL RECORD
  • Height: 1.7 m (5'7")
  • Weight: 64 kg (141 lbs)
  • Blood Type: A Negative
  • T/E Rating: None

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 239006.02: Severe concussion with accompanying memory loss. Sustained during explosion. Other conditions treated included lacerations and hearing loss.
  • SD 237007.05: Injured during fall. Fractured tibia, treated for exhaustion.

PAST SURGICAL HISTORY

  • SD 237005.05:
  • SD 237007.05:

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Occasional use
  • Recreation Drugs: None
  • Other: None

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: