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Threshold: Tragic Superheroes

HEDx043 Patient Worksheet


This form is the property of Speed Silver Enterprises and is private and proprietary information. Any dissemination of all or part of this
worksheet will be prosecuted to the fullest extent of law. Any Speed Silver employee using this document outside the scope of their duties will
be terminated.

Personal Information Attributes


Name Rating Current
DOB: Physical:
Sex: Mental:
Relationship: Social:
Sickness: 1 2 3 4 Archetype:

Regret Peace Die: d4 d6

Resolved: Y / N

Elixir Threshold Cardinal Vice

Physician's Notes

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