Medical History

[economicalrhinoplasty]

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PATIENT MEDICAL HISTORY
Name: Eva Salazar	Age: 48 years	Sex: F	Height: 5'6inch	Weight: 152lbs/kg
[ ] Magical by nature/practices magic.	[ ] Can't have magic used on.		[ ] Contagious (see notes).
HUMAN
Average Lifespan: 73	Rate of Maturity: 18 years		Average age of Puberty: 12 years
Normal Diet: Standard human diet. See file. Common Ailments: Common human illnesses. See file. Specific Notes: None.
GENERAL HEALTH
All of the following sense-related questions are to be answered in comparison to an average Homo sapiens. Ask your medical provider for assistance in answering this section.
Blood Pressure: [ ] Average | [ ] Low | [x] High
Vision: [ ] Fine | [ ] Near Sighted | [ ] Far Sighted | [x] Enhanced
If Enhanced, further explain: Reading glasses.
Hearing: [ ] Deaf | [ ] Low | [x] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive
If necessary, further explain:
Smell: [ ] Cannot Smell | [ ] Low | [x] Average | [ ] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
Known Allergies: None. Are there any potential complications with healing processes we should be aware of when treating you?: None. Do you have a healing factor different from the average for your species? If so, explain how here: No. Have you recently been screened for species, sex, and age specific cancer risks?: Yes. Special notes on care: No treatment to neck or ear injuries unless emergency. Record of Past Injuries: Extensive physical trauma (see file). Was in physical therapy on homeworld; discontinued. Ship Health Records: Demonic possession (exorcised). See file.
SEXUAL HEALTH
Have you ever been sexually active?: Yes. Are you currently Sexually Active: No. Have you recently been screened for STIs?: Yes. Species specific sexually related health notes and/or issues: One pregnancy carried to term (age 28).
Date of Last Menses/Estrus/Equiv (skip if n/a): Within the last month. Number of pregnancies: One. Number of pregnancies carried to term: One. Age of first birth/hatching/etc. (if applicable): 28. Total number of births/hatching/etc.: One.
DRUGS AND MEDICATION
Are you or should you be on any prescribed medication? If so, list below: None. Have you taken any recreational or non-prescribed drugs or substances in the past? Is so, please list them and their frequency of use below: None. Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: Alcohol, recreational, 5-10 glasses weekly.