Patient Medical History

[sunlightsister]

PATIENT MEDICAL HISTORY
Name: Celestia	Age: 1042 years	Sex: Female	Height: 14.2 hands 4'10inch/147cm (to withers)	Weight: 606lbs/275kg
[X] Magical by nature/practices magic.	[ ] Can't have magic used on.		[ ] Contagious (see notes).
PONY (ALICORN)
Average Lifespan: N/A	Rate of Maturity: N/A		Average age of Puberty: N/A
Normal Diet: Hay, grass, flowers, grains, cakes, sweets, vegetables, fruits. No meats. Common Ailments: N/A. Specific Notes: N/A.
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: Vision superior to humans.
Hearing: [ ] Deaf | [ ] Low | [ ] Average | [X] High Range | [ ] Low Range | [ ] Extremely Sensitive
If necessary, further explain:
Smell: [ ] Cannot Smell | [ ] Low | [ ] Average | [X] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
Known Allergies: N/A. Are there any potential complications with healing processes we should be aware of when treating you?: N/A. Do you have a healing factor different from the average for your species? If so, explain how here: N/A. Have you recently been screened for species, sex, and age specific cancer risks?: N/A. Special notes on care: N/A. Record of Past Injuries: N/A. Ship Health Records: N/A
SEXUAL HEALTH
Date of Last Menses/Estrus/Equiv (skip if n/a): N/A Have you ever been sexually active?: N/A. Are you currently Sexually Active: N/A. Have you recently been screened for STIs?: N/A. Species specific sexually related health notes and/or issues: N/A.
DRUGS AND MEDICATION
Are you or should you be on any prescribed medication? If so, list below: N/A. 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: N/A. Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: N/A.