Mistress Hermina Matilda de Ainesleah of Meredene Mistress Hermina Matilda de Ainesleah of Meredene
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Chirurgeon Reporting Schedule
  • Event reports are due within 2 weeks after the event.
  • Mid-year report (due June 1) - All chirurgeons and Chirurgeon in Training report.
  • Domesday (due December 1) - All chirurgeons and Chirurgeon in Training report.
    • Must include a photo-copy of First Aid, C.P.R., and SCA Membership.
  • New First Aid, CPR, or SCA Membership expiration dates can be reported anytime electronically using the certification update form.
  • Incidents involving minors or requiring *medical* intervention must be reported within 24 hours.
    This includes:
    • Any time EMT or paramedics are called
    • When anyone is recommended or sent to a hospital or clinic (including urgent care) from site.
    • Formal referral made to an on-site or off-site MD.

    These incidents must be reported within 24 hours whether or not the person actually follows through with medical intervention.
Current Status: First Aid Certification Expiration Date:
CPR Expiration Date:

I have been CIC at the following events (event name, group and date):

I have worked as a chirurgeon at the following events (event name, group and date):

Incidents that you feel need special notation:

Questions/Comments/Concerns:


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