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  • Student Health Monitoring Form: QUARTER

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    JESSELLY VALES
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    This document is a student health monitoring form from Aurora National High School. It contains sections for student details, regular health information, and a weekly sign and symptoms checklist. The student details section collects information like name, grade/section, date of birth, guardian/parent name, address, and contact number. The regular health section gathers data on height, weight, physical/psychological conditions, allergies, and eating habits. Finally, the sign and symptoms checklist allows marking whether the student experienced issues like fever, cough, sore throat, difficulty breathing, fatigue, diarrhea, headaches, or loss of taste/smell on a weekly basis.

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    Students Montoring

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    This document is a student health monitoring form from Aurora National High School. It contains sections for student details, regular health information, and a weekly sign and symptoms checklist. The student details section collects information like name, grade/section, date of birth, guardian/parent name, address, and contact number. The regular health section gathers data on height, weight, physical/psychological conditions, allergies, and eating habits. Finally, the sign and symptoms checklist allows marking whether the student experienced issues like fever, cough, sore throat, difficulty breathing, fatigue, diarrhea, headaches, or loss of taste/smell on a weekly basis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views3 pages

    Student Health Monitoring Form: QUARTER

    Uploaded by

    JESSELLY VALES
    This document is a student health monitoring form from Aurora National High School. It contains sections for student details, regular health information, and a weekly sign and symptoms checklist. The student details section collects information like name, grade/section, date of birth, guardian/parent name, address, and contact number. The regular health section gathers data on height, weight, physical/psychological conditions, allergies, and eating habits. Finally, the sign and symptoms checklist allows marking whether the student experienced issues like fever, cough, sore throat, difficulty breathing, fatigue, diarrhea, headaches, or loss of taste/smell on a weekly basis.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Republic of the Philippines

    Department of Education
    Caraga Region
    Division of Agusan del Sur
    Prosperidad District IV
    AURORA NATIONAL HIGH SCHOOL
    Aurora. Prosperidad, Agusan del Sur
    School Year 2020 – 2021

    STUDENT HEALTH MONITORING FORM


    QUARTER: _______________

    STUDENT DETAILS

    Name of Students: Grade and Section: LR:

    Date of Birth: Guardian/Parents Name::

    Address: Contact Number:

    REGULAR HEALTH INFORMATION

    Height: Physical Difficulties:

    Weight Psychological/Psychiatric
    Condition:
    Allergy(s): Nutrition (Eating Habits):

    JESSELLY L. CASTRO - VALES


    Adviser
    Republic of the Philippines
    Department of Education
    Caraga Region
    Division of Agusan del Sur
    Prosperidad District IV
    AURORA NATIONAL HIGH SCHOOL
    Aurora. Prosperidad, Agusan del Sur
    School Year 2020 – 2021

    SIGNS & SYMPTOMS

    Put a check mark on the column below if you have this following symptoms.
    (Maglagay ng marka ng tsek sa haligi sa ibaba kung mayroon kang mga sumusunod na sintomas

    Difficulty Fatigue/Tir Diarrhea Headach Loss of


    Sore
    Cold Breathing edness (Pagtatae) e taste or
    Fever Throat (Pagkahapo
    s Coug (Pagkapagod) (Pananakit smell Parent
    Week (Lagnat (Pananakit o hirap sa
    (Sipon h ng ulo) (Nawalan ng Signature
    ) ng paghinga)
    ) (Ubo) panlasa o
    Lalamunan)
    pang-amoy)

    JESSELLY L. CASTRO - VALES


    Adviser
    Republic of the Philippines
    Department of Education
    Caraga Region
    Division of Agusan del Sur
    Prosperidad District IV
    AURORA NATIONAL HIGH SCHOOL
    Aurora. Prosperidad, Agusan del Sur
    School Year 2020 – 2021

    JESSELLY L. CASTRO - VALES


    Adviser

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