crystal & medical questionnaire.

[portalling]

FORM: Sending crystal + blank questionnaire available at the infirmary
SENDER: Stephen Strange
RECIPIENT: Everyone
NOTES: The form is below! Submit your character’s response as a reply to that sub-thread, and this will also be linked from the Riftwatch orientation & infirmary wiki pages for posterity, so you can edit/submit a new one if details change. Your character does not have to take this super seriously. Strange might just come nag if they don’t.

What with the new faces recently, I’ve been working on the medical curriculum and refreshing the infirmary’s recordkeeping. It’s high time to establish some better-kept patient files.

To that end, we’ve provided a written questionnaire at the infirmary — thank you to Amsel for her neat penmanship — and I’d appreciate it if you could fill out a form for yourself and drop it off. The records will only be referenced by healers in the course of their duties, and otherwise locked away; your personal details will remain private. Having as much information as possible will only help the healers take care of you properly.

If you don’t read Trade or otherwise require assistance filling out the form, say as such and we can have someone sit with you. Any other questions, let me know.

— but also, fill it out.

Comments

vanya orlov

[wearyallalone]

medical details
Name: Vanya Orlov
Age: 47
Rifter: N
Anchor: N

Pre-existing conditions: lyrium addiction; approximately 18 months off of regular use. Cravings occasionally persist, and it is possible that long-term effects such as memory loss could still be in play, though I have nothing specific to report.
Any ongoing treatment: n/a

contingency plans
Emergency contact(s): If I am killed, please send word to my parents in Nevarra City. I have attached their names and the address where a raven will reach them.
Belongings: Please forward any personal correspondence to the original letter-writers, if they can be reached. Any other personal effects may be used in the organization if desired, or sold to raise coin.
Preferred burial practice: If possible, please preserve my corpse in the Nevarran fashion. If costs allow, I would like my remains sent back to my family.