Patient Medical History & Psych Eval (Medbay) - Trans 9
PATIENT MEDICAL HISTORY
Name: Clef
Age: 745 years
Sex: Male
Height: 118 cm (3'11")
Weight: 25 kg (55lbs)
[X] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
Cephiroan
Average Lifespan: 130 - 500 standard years
Rate of Maturity: Variable
Average age of Puberty: Variable
Normal Diet: Fruit, nuts, few grains, very little meat.
Common Ailments: Unknown
Specific Notes: Most individuals can change physical age (including going through or reversing puberty) at will, and alter genetically-determined appearance (height, weight, hair color) to some degree. Healing factors vary widely between individuals.
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: [X] Average | [ ] Low | [ ] High
Vision: [X] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced
If Enhanced, further explain:
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?: No.
Do you have a healing factor different from the average for your species? If so, explain how here: Yes; magic. Twice to three times as fast.
Have you recently been screened for species, sex, and age specific cancer risks?: No.
Special notes on care:
Record of Past Injuries:
Ship Health Records:
SEXUAL HEALTH
Have you ever been sexually active?: Yes.
Are you currently Sexually Active: No.
Have you recently been screened for STIs?: No.
Species specific sexually related health notes and/or issues:
Reproductive Health (skip if N/A)
Date of Last Menses/Estrus/Equiv (skip if n/a):
Number of pregnancies:
Number of pregnancies carried to term:
Age of first birth/hatching/etc. (if applicable):
Total number of births/hatching/etc.:
DRUGS AND MEDICATION
Are you or should you be on any prescribed medication? If so, list below:
No.
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:
No.
Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below:
No.
Character Name: Clef
What do they prefer to be called?: Clef
Age: 745
Species: Cephiroan
Do they have any superpowers? If yes, please briefly describe: He has elemental magic of various kinds, as well as some general magical abilities.
If they have powers, are these powers normal for their species?: Yes, although not to the extent that he has them.
What do you believe is the general impression the crew has of your character, how would they describe him/her? (be brief): Very practical thinker, reserved but with good social skills. Emotionally closed, but outwardly positive in attitude. Very curious, somewhat child-like.
Are there any specific issues you would like to address during the session?: His world was dying before he arrived on the ship, and prior to that he was forced to send some children off to kill a couple of people he loved like family. He has some PTSD and a lot of guilt issues, and is currently going through the grief process.
What, if anything, do you hope your character gets out of therapy?: I'd like him to resolve some of his guilt, or at least stop feeling as though he has to take everything on himself.
Is there anything else you'd like to add?: He's not used to confiding in anyone, let alone a stranger, so he's going to be rather skeptical and reluctant to open up.