smecker: (Default)
2013-08-27 12:01 am

Paul's Medical Survey

1. Name Paul Smecker
2. Date of Birth Age as best you know it 47
3. Are you a fully biological human in all respects? Yes.
4. Blood type if you know it? A
5. How do you feel about being healed by magical or experimental means? Not my favored choice of treatment. If I am unable to respond, but not in a life-threatening situation, stick to mundane medicines. If I am going to die if I don't get the magical option, then lay it on me.
6. Existing medical conditions?
I've smoked for thirty-odd years, so I'm sure my lungs are a delight. I'm moderately near-sighted and wear contact lenses.
7. Taking any medications? No.
8. Allergic to any medications, or other substances? No.
9. Is there anything else we should know about you in the occasion that we need to render you medical aid? No.
10. Does anything out of the ordinary happen should you fall unconscious, or die? No.