Trans 9 Medical info

PATIENT MEDICAL HISTORY
Name:	Age: 35 years	Sex: Male	Height: 5'8.4"/174cm	Weight: 150lbs/71kg
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[ ] Magical by nature/practices magic.	[ ] Can't have magic used on.		[ ] Contagious (see notes).
Homo Sapiens [Human]
Average Lifespan: 80	Rate of Maturity: Between ages 18 and 22		Average age of Puberty: 13
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Normal Diet: Omnivorous Common Ailments: Specific Notes: (healing factors, special needs, etc) 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.
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Blood Pressure: [X ] Average | [ ] Low | [ ] High
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Vision: [X ] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced
If Enhanced, further explain:
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Hearing: [ ] Deaf | [ ] Low | [X ] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive
If necessary, further explain:
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Smell: [ ] Cannot Smell | [ ] Low | [X ] Average | [ ] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
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Known Allergies: Cats 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: None Have you recently been screened for species, sex, and age specific cancer risks?: Yes Special notes on care: (Such as contagious diseases/conditions, special means of handling, special care taken in handling) None Record of Past Injuries: N/A Ship Health Records: N/A
SEXUAL HEALTH
Have you ever been sexually active?:	Yes [X ] No [ ]
Are you currently sexually active?:	Yes [X ] No [ ]
Have you recently been screened for STIs?:	Yes [ ] No [X ]
Species specific sexually related health notes and/or issues: General human STIs
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Reproductive Health (skip if N/A)
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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 MEDICINE
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? If so, please list them and their frequency of use below: Alcohol - Infrequent Do you currently take any recreational or non-prescribed drugs or substances? If so, please list them and their frequency of use below: Alcohol - Infrequent
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