Crucible - Medical records

[dragonlordbight]

PATIENT MEDICAL HISTORY
Name: Crucible	Age:  ~2000 years	Sex: Male	Height: 140/42.7 ft/m	Weight: 1,493,000/677.3 lbs/Tonne
[x] Magical by nature/practices magic.	[ ] Can't have magic used on.		[ ] Contagious (see notes).
SPECIES NAME HERE
Average Lifespan: Thousands of years	Rate of Maturity: 50-100		Average age of Puberty: 26-50
Normal Diet:  Omnivorous, can eat near anything if necessary including inorganic substances such as dirt and rock. Preference towards meat where available though. Common Ailments: Specific Notes: (healing factors, special needs, etc)
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: [ ] Fine | [ ] Near Sighted | [ ] Far Sighted | [x] Enhanced
If Enhanced, further explain: Low-light and daytime vision are far more acute, can see into the infrared spectrum when no light is available.
Hearing: [ ] Deaf | [ ] Low | [x] Average | [x] High Range | [x] Low Range | [ ] Extremely Sensitive
If necessary, further explain:
Smell: [ ] Cannot Smell | [ ] Low | [ ] Average | [ ] High | [x] Extremely Sensitive
If Extremely Sensitive, further explain: Can recognize a person, animal, or object by scent if within the general vicinity, but cannot track.
Known Allergies:  None Are there any potential complications with healing processes we should be aware of when treating you?: Immune to electrical effects and may cause equipment overloads if attempting to shock. 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?:  No Special notes on care: (Such as contagious diseases/conditions, special means of handling, special care taken in handling) No Record of Past Injuries:  Multiple lacerations to many locations, particularly wings. Broke a wing four years ago. Most notable scars: Wing membranes, rear right thigh. Previous injuries to wings prevent greater periods of prolonged flight. Ship Health Records:  None
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:  None
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: None Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: None