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    Medical For Athletes 1

    Uploaded by

    Raymund Suaybaguio
    This medical certificate certifies that [Name] has been examined and found physically fit/unfit to participate in the DepEd Bohol Bubble Sports Competition. The examination covered the individual's eyes, ears, nose, throat, mouth, teeth, neck, cardiovascular, chest, lungs, abdomen, skin, genitalia, musculoskeletal range of motion for various body parts, neuromuscular reflexes, height, weight, blood pressure, pulse rate, and respiratory rate. The physician deemed the individual physically fit/unfit for their school's intramurals/bubble sports based on the findings of the examination.

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    © All Rights Reserved
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    Medical For Athletes 1

    Uploaded by

    Raymund Suaybaguio
    17 views1 page
    This medical certificate certifies that [Name] has been examined and found physically fit/unfit to participate in the DepEd Bohol Bubble Sports Competition. The examination covered the individual's eyes, ears, nose, throat, mouth, teeth, neck, cardiovascular, chest, lungs, abdomen, skin, genitalia, musculoskeletal range of motion for various body parts, neuromuscular reflexes, height, weight, blood pressure, pulse rate, and respiratory rate. The physician deemed the individual physically fit/unfit for their school's intramurals/bubble sports based on the findings of the examination.

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    Medical Form

    Original Title

    Medical-for-Athletes-1

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    © © All Rights Reserved

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    This medical certificate certifies that [Name] has been examined and found physically fit/unfit to participate in the DepEd Bohol Bubble Sports Competition. The examination covered the individual's eyes, ears, nose, throat, mouth, teeth, neck, cardiovascular, chest, lungs, abdomen, skin, genitalia, musculoskeletal range of motion for various body parts, neuromuscular reflexes, height, weight, blood pressure, pulse rate, and respiratory rate. The physician deemed the individual physically fit/unfit for their school's intramurals/bubble sports based on the findings of the examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    Medical For Athletes 1

    Uploaded by

    Raymund Suaybaguio
    This medical certificate certifies that [Name] has been examined and found physically fit/unfit to participate in the DepEd Bohol Bubble Sports Competition. The examination covered the individual's eyes, ears, nose, throat, mouth, teeth, neck, cardiovascular, chest, lungs, abdomen, skin, genitalia, musculoskeletal range of motion for various body parts, neuromuscular reflexes, height, weight, blood pressure, pulse rate, and respiratory rate. The physician deemed the individual physically fit/unfit for their school's intramurals/bubble sports based on the findings of the examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines MCForm - 1

    DEPARTMENT OF EDUCATION
    ________________________
    (REGION)
    ______________________________
    (DIVISION)
    ______________________________
    (SCHOOL)
    ______________________________
    (School Address)

    MEDICAL CERTIFICATE

    To Whom It May Concern:


    Physical Examination
    This is to certify that I have personally examined _____________________
    Name School/Intrams/ Unit/Division Regional Palarong
    age ____ sex _____ and have found that he/she is physically fit unfit, District Meet Meet Meet Pambansa
    Normal Normal Normal Normal
    during the time of examination, to join and participate in the Dep Ed Bohol Bubble
    1. Eyes YES | NO YES | NO YES | NO YES | NO
    Sports Competition. 2. Ears, Nose, Throat YES | NO YES | NO YES | NO YES | NO
    3. Mouth and Teeth YES | NO YES | NO YES | NO YES | NO
    4. Neck YES | NO YES | NO YES | NO YES | NO
    Event: ___________________________ 5. Cardiovascular YES | NO YES | NO YES | NO YES | NO
    6. Chest and Lungs YES | NO YES | NO YES | NO YES | NO
    7. Abdomen YES | NO YES | NO YES | NO YES | NO
    8. Skin YES | NO YES | NO YES | NO YES | NO
    9. Genitalia-Hernia (male) YES | NO YES | NO YES | NO YES | NO
    10. Muskuloskeletal: ROM YES | NO YES | NO YES | NO YES | NO
    a. neck YES | NO YES | NO YES | NO YES | NO
    b. spine YES | NO YES | NO YES | NO YES | NO
    c. shoulder YES | NO YES | NO YES | NO YES | NO
    School Intramurals/Bubble Sports Remarks/Findings:
    d. arms/hands YES | NO YES | NO YES | NO YES | NO
    _____________________________ Ht ._______cm FIT e. hips YES | NO YES | NO YES | NO YES | NO
    Physician/Medical Officer Wt:_______kg f. thighs YES | NO YES | NO YES | NO YES | NO
    (signature over printed name) BP.____________mmHg UNFIT
    PRC PR:____________bpm
    g. knees YES | NO YES | NO YES | NO YES | NO
    LICENSE: PTR NO. RR:____________cpm Date: h. ankles YES | NO YES | NO YES | NO YES | NO
    i. feet YES | NO YES | NO YES | NO YES | NO
    11. Neuromuscular YES | NO YES | NO YES | NO YES | NO
    (reflexes)

    FOR DEPED BOHOL SCHOOL SPORTS (BUBBLE SPORTS)

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