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An Tir Chirurgeons' Guild

Chirurgeon's Forms

Scribe at desk

Like any organization, particularly a medieval one, we can do nothing without paperwork. There are certain forms and paperwork required to be completed whenever we act as Chirurgeons. The requirements for this paperwork are derived from section IV of the 2004 Chirurgeon's Handbook (with 2007 revisions) the requirements from the Chirurgeon's Handbook are in turn derived from the copora, by-laws, and corporate policies of the Society for Creative Anachronism, Inc.

The following table is a listing of the forms used by Chirurgeons in the Kingdom of An Tir. Each of the forms can be downloaded by clicking on the appropriate document type image in the right hand side of the table.

Chirurgeon in Training Forms
Form Name Used for: .DOC .PDF
Chirurgeon in Training Application Adding a Chirurgeon in Training to our ranks.   Updated 11/06/2006 Chirurgeon in Training Application Form in Word format
24 K 		Chirurgeon in Training Application Form in PDF Format
16 K
Chirurgeon in Training Evaluation Evaluating the performance of a Chirurgeon in Training Chirurgeon in Training Evaluation Form in Word Format
25 K 		Chirurgeon in Training Evaluation Form in PDF Format
23 K
Chirurgeon in Training Feedback Allows Chirurgeons in Training to evaluate chirurgeons and mentor chirurgeons as instructors. Chirurgeon in Training Feedback Form in Word Format
25 K 		Chirurgeon in Training Feedback Form in PDF Format
24 K
Event Forms
Form Name Used for: .DOC .PDF
Point Sign-In Sheet Setting up staffing for Chirurgeons Point during events. Point Sign-in Sheet in Word Format
54 K 		Point Sign-in Sheet in PDF Format
19 K
Event Report This report must be filed after each event you act as Chirurgeon-in-Charge.  Updated 06/28/2005 CiC Event Report Form in Word Format
47 K 		  ChiC Event Report Form
21 K
Incident Reports
Form Name Used for: .DOC .PDF
Incident Report (long) Use this report for injuries and incidents requiring more detail   Updated 05/02/2006 Long Incident Report Form in Word Format
138 K 		  Long Incident Report Form in PDF Format
31 K
Incident Report (short) This report is useful for less involved injuries and incidents. Short Incident Report Form in Word Format
889 K 		Short Incident Report Form in PDF Format
60 K
Reporting Forms
Form Name Used for: .DOC .PDF
Quarterly Report A quarterly report must be filed by all Chirurgeons, regardless of whether they have worked during the quarter or not. Quarterly Report Form in Word Format
73 K 		Quarterly Report Form in PDF Format
117 K

To view and print these files, you will need one of the following:

Adobe Acrobat reader is free and can be downloaded by going to the link below. This is the preferred format for viewing and printing these files.

I have also included a link to download the Microsoft MS Word Viewer, which will allow PC users without Microsoft Word to print .DOC files. This is also a free program.

Get Acrobat Reader Get MS Word Viewer

(If there is a free Mac equivalent that allows a user view and print word files, please let me know and I will include it here.)


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