Star Trek: Enterprise, Report of medical history form

original movie prop

Here is an authentic Star Trek prop from the Enterprise episode “Carpenter Street,” where Archer and T’Pol travel back in time to Earth in 2004 to stop a gruesome plot orchestrated by the Xindi. This is one of the prop medical records that are seen in the episode used by Leland Orser as “Loomis,” the unscrupulous blood bank worker who aided the Xindi-Reptilians in their quest to create a biogenic weapon. (The records were created specifically for the episode and do not contain any real medical information for real people.)  This record is the "report of medical history form", and was in one of the folders that was one of several folders that came in an envelope directly from the Paramount auctions that states "hero folders".