Chirurgeon Forms: Kingdom of Meridies

	Sign In Sign-Up

Forms Directory

Kingdom of Meridies A.S. XXXIV (2000 Gregorian).

Below are the updated forms. Each page should be printer safe for Internet Explorer but may get slightly different printing results in Netscape. All forms are One page long and are to be mailed to the Kingdom Chirurgeon within two weeks upon completion of an event or activity. Copies of the forms may be downloaded and saved in Microsoft Word and Office format (2000-97).

Event Report Form - Main event form. Used as a summary of chirurgeonal activity for an event. Reports go to Chirurgeon's personal file, Autocrat, Kingdom Chirurgeon, and Marshal(in the event of a fighting injury).

Minor Trauma Form - Small information form to be keep by chirurgeons while in the field. Helps record patient information for minor trauma. Each form contains four patient contacts.

Patient Care Form - A more in-depth form for use with patients who have more serious injuries or that require some form of outside medical attention(such as an ambulance transport).

DOWNLOAD SECTION

event_report_form.doc - The Event Report Form in Word 97/RTF format.

minor_trauma_form.doc - The Minor Trauma Form in Word 97/RTF format.

patient_care_form.doc - The Patient Care Form in Word 97/RTF format.

Note: All Patient Information is Confidential. These Reports should only be read by the treating Chirurgeon and the Kingdom Chirurgeon (except for the Event Report). All others are strictly prohibited by order of the Kingdom Chirurgeon.

Completed forms may be mailed via postal service or e-mail. For the current Kingdom Chirurgeon's contact information select the Contact Page.

Note: Soon Chirurgeons will be able to fill out the forms online and automatically have them sent to the kingdom chirurgeon. However those pages are still being completed.