Physicians’ Records of Rorus

Certificate of Death

Create the formal village record of a confirmed death.

Medical roleplay record: Enter only information established through roleplay. This record supports the story and does not represent real-world medical advice or documentation.

Record Identification

Attending Physician’s Gorean Name *

Physician’s Second Life Legacy Name *

Record Reference

Deceased

Deceased Gorean Name *

Deceased Second Life Legacy Name

Leave blank when the subject is an NPC.

Status *

Age or Approximate Age

Death

Earth Date of Death *

Time of Death

Place of Death *

Cause of Death *

Manner of Death *

Death Confirmed By *

Next of Kin or Owner

Disposition or Funeral Instructions

Certification

I certify that this record accurately reflects the medical roleplay and observations entered by the attending Physician to the best of my knowledge.

Earth DateSeptember 7, 2026

Gorean Scribe Date22nd Day of Sixth Month, 10,176 Contasta Ar

I affirm this record for submission to the Physicians’ records of Rorus. *

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