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

viktor

[grindset]

[It'll take some pestering, but eventually he does relent:]

medical details
Name: Viktor
Age: ~34 years (~32 on arrival)
Rifter: Y
Anchor: Left palm, 2 yrs — arr. 9:48.08.08

Pre-existing conditions: Musculoskeletal defect in rt. leg. Degradation of spinal column. Lung blight, prev. prognosed untreatable, expectancy exceeded by 2 yrs — suspect link to rifter condition (anchor?)
Any ongoing treatment: Sagittal realignment brace, steel implants x8. Leg orthoses x2. Underarm crutch. Elfroot as needed, magic healing monthly as available.

contingency plans
Emergency contact(s): Jayce Talis, Research div. In event of expiry or departure, inform Mssr. Hedda Ferredin of Horseshoe Ln., Lowtown, Kirkwall; and Mme. Wysteria de Foncé, Research div., stationed in Orzammar at time of writing.
Belongings: If possible, fit orthoses to a person, or persons, in need at no charge. Further instruction may be found in division workbench and among personal belongings, respectively.
Preferred burial practice: Preserve anchor.