PATIENT MEDICAL HISTORY
Name: Allenby Beardsley
Age: 17 years
Sex: Female
Height: 61"/155 cm
Weight: 99 lbs/ 45 kg
[ ] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
HUMAN
Average Lifespan: 80 to 90 to 100
Rate of Maturity: 18 years
Average age of Puberty: 13ish?
Normal Diet: Anything. I forget the fancy word for this.
Common Ailments: Cold, stomach flu, earaches--am I supposed to list everything humans get?
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 | [ ] High
Vision: [✔] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced
If Enhanced, further explain:
Hearing: [ ] Deaf | [ ] Low | [✔] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive
If necessary, further explain:
Smell: [ ] Cannot Smell | [ ] Low | [✔] Average | [ ] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
Known Allergies: PEOPLE OR SPACESHIPS LOOKING INSIDE MY HEAD
Are there any potential complications with healing processes we should be aware of when treating you?: Nope.
Do you have a healing factor different from the average for your species? If so, explain how here: Nope.
Have you recently been screened for species, sex, and age specific cancer risks?: Yeah but it was back on Earth so I don't know if it's technically RECENT. But they didn't find nothing.
Special notes on care: I have a REALLY fast metabolism so I got to eat a lot.
Record of Past Injuries: I broke my upper arm once and I've had lots of bruises and sprains and stuff. Nothing that's got lasting health effects or whatever.
Ship Health Records: Went to Medbay with a giant bruise after fighting KAIN. Oh and I stopped by after fighting over NiSaris but that wasn't anything serious just my Gundam lost a foot during the battle.
SEXUAL HEALTH
Have you ever been sexually active?: WHAT
Are you currently Sexually Active: MIND YOUR OWN BUSINESS
Have you recently been screened for STIs?: NO
Species specific sexually related health notes and/or issues: What the hell am I supposed to put here?? THERE ARE NO ISSUES.
Reproductive Health (skip if N/A)
Date of Last Menses/Estrus/Equiv (skip if n/a): Why is this always a question?? I don't know the dates here anyway!
Number of pregnancies: ZERO.
Number of pregnancies carried to term: ZERO!
Age of first birth/hatching/etc. (if applicable): ETCETERA???
Total number of births/hatching/etc.: None.
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:
No.
Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below:
Uh none.