Medical survey for Long
Aug. 27th, 2013 12:19 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
imperial_long1. Name Mayland Long
2.Date of Birth Age as best you know it I have occupied a human body for eight years. As near as I can tell, the body resembles that of a middle-aged male.
3. Are you a fully biological human in all respects? No.
4. Blood type if you know it? O
5. How do you feel about being healed by magical or experimental means? I do not wish to be healed by magic. Scientific methods of experimental nature are acceptable, although not my first choice.
6. Existing medical conditions? None of which I am aware.
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, but if I were to regain consciousness I might reflexively strike or grab at someone.
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1. I am a... check One:
(X) Augmented or enhanced human
() Undead
() Shapeshifter
() Other non-human, please clarify
2. Any substances that are toxic or dangerous to your person and should be kept far from you in case of a medical emergency? No.
3. What is your resting pulse, if applicable? 35 pulses to the minute.
4. Normal blood pressure, if applicable? 130/70
5. Normal body temperature, if applicable? 99 F
6. How should we render care to you if you are unresponsive? Are human medicines or medical procedures harmful to you? I believe standard human medicinal procedures are acceptable.
2.
3. Are you a fully biological human in all respects? No.
4. Blood type if you know it? O
5. How do you feel about being healed by magical or experimental means? I do not wish to be healed by magic. Scientific methods of experimental nature are acceptable, although not my first choice.
6. Existing medical conditions? None of which I am aware.
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, but if I were to regain consciousness I might reflexively strike or grab at someone.
[Next Page]
1. I am a... check One:
(X) Augmented or enhanced human
() Undead
() Shapeshifter
() Other non-human, please clarify
2. Any substances that are toxic or dangerous to your person and should be kept far from you in case of a medical emergency? No.
3. What is your resting pulse, if applicable? 35 pulses to the minute.
4. Normal blood pressure, if applicable? 130/70
5. Normal body temperature, if applicable? 99 F
6. How should we render care to you if you are unresponsive? Are human medicines or medical procedures harmful to you? I believe standard human medicinal procedures are acceptable.
