[Warded to Gairloch *charmed to hop up and down until read*]Attention All Inhabitants. The following is a
mandatory form to be filled out immediately for the new records (which will be kept in a secure location). If the lassies and I are going to continue treating you, then we will need to know the essential information of your treatment histories. This prevents the need to memorise your specific ailments which could prove counter-productive to the cause should one of us be captured. Please fill out the form to the best of your ability. If you require assistance, I will be at the loch tonight to help fill in the blanks.
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SURNAME:           
GIVEN NAME:AGE: HEIGHT/WEIGHT:BLOOD TYPE:ALLERGIES: (Smoke, potion ingredients, harmless dogs, etc)
INJURIES: (Please state the approximate time you received injuries.)
PAST/CURRENT PRESCRIPTIONS: OTHER: (Any other information you believe should be known)
[/ward]*[pages with the information were ripped out and given to Rufus in time for the meeting/as they appeared in the book]( form code under cut )