Talk:Records Template

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General Records Medical Records
Identification

FULL NAME: DATE OF BIRTH: AGE: PLACE OF BIRTH: SPOKEN LANGUAGES: PREFERRED LANGUAGE: NEXT OF KIN: Physical Description GENDER: HAIR COLOUR: EYE COLOUR: HEIGHT: WEIGHT: SPECIES: RACE/ETHNICITY: Employment Records/Duty Assignment EDUCATION SUMMARY: EMPLOYMENT: CURRENT ASSIGNMENT: CURRENT POST: CURRENT QUALIFICATIONS: COMBAT CAPABLE: ADDITIONAL QUALIFICATIONS: DATE OF EMPLOYMENT: HIRING AGENT NOTES:

Medical Records

EMERGENCY CONTACT: 

POSTMORTEM INSTRUCTIONS:

PROSTHETIC(S)/IMPLANT(S): 

ALLERGIES: 

SURGICAL HISTORY:

OBSTERIC HISTORY:

MEDICATION HISTORY:

CURRENT MEDICATION(S)/PRESCRIPTION(S):

PHYSICAL EVALUATIONS:

DOCUMENTED PSYCHOLOGICAL DISORDERS:

PSYCHOLOGICAL EVALUATIONS:

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