Republic of the Pbilivvines Department of Cducation Region VII- CENTRAL VISAYAS SCHOOLS DIVISION OF BOHOL Office of the Schools Division ‘Superintendent May 21, 2021 Division Memorandum No. 3IO_ series of 2021 For: Public Schools District Supervisors Acting Public Schools District Supervisors School Administrators Health and Nutrition Personnel Clinic in Charge All others concerned Subject: SCHOOL DISTRIBUTION AND RETRIEVAL OF THE NEW-NORMAL HEALTH ASSESSMENT FORM FOR LEARNERS 1, Health Assessment plays a vital role in evaluating and determining a learner's health status. This will identify the specific needs of the person and how those needs will be addressed. I, In line with this and in lieu of physical examination, each school is advised to adopt the New Normal Health Assessment Form for Learners. This will help detect the early signs of certain health conditions and address the accordingly. Likewise, this will aid in the profiling of the learners and serve as basis for future stakeholders’ support, Ill. — With this, the New Normal Health Assessment Forms shall be distributed by the Division Health and Nutrition Personnel to the schools of the different districts. IV, Attached herein is a copy of the New Normal Health Assessment Form for Learners. :ATAN EdD, CESO V ion Superintendent 050 Line Chto Cie Barangay Cogan, Taghlaran Cty, Bohol Tein (038 t2-aon (008) 1S (058) SOT o86 Tele (038) 501-7560 ema ad doped boone go ph BOHOLRepublic ofthe Dhiliopines Department of Education Region VII - CENTRAL VISAYAS SCHOOLS DIVISION OF BOHOL Office of the Schools Division Superintendent May 21, 2021 Division Memorandum For: series of 2021 Public Schools District Supervisors /Acting Public Schools District Super School Administrators Health and Nutrition Personnel Clinic in Charge All others concerned Subject: SCHOOL DISTRIBUTION AND RETRIEVAL OF THE NEW-NORMAL HEALTH IL ML. Iv, ASSESSMENT FORM FOR LEARNERS: Health Assessment plays a vital role in evaluating and determining a learner’s health status. This will identify the specific needs of the person and how those needs will be addressed. In line with this and in licu of physical examination, cach school is advised to adopt the New Normal Health Assessment Form for Learners. This will help detect the carly signs of certain health conditions and address the accordingly. Likewise, this, will aid in the profiling of the learners and serve as basis for future stakeholders’ support, With this, the New Normal Health Assessment Forms shall be distributed by the Division Health and Nutrition Personnel to the schools of the different districts. Attached herein is a copy of the New Normal Health Assessment Form for Learners. For information, dissemination, 4nd support. (050 Lino Chatto Drive Barangay Cagon, Tagblaran City, Bohol x Tel Nos. (038) 412-4008, (098) 411-2544 (038) 501-7550 Telefe (08) 501-7550 emai ad: oped bohch@deped gor ph BOHOLRepublic of the Dlippines ‘Department of Education REGION Vil, CENTRAL VISAYAS DIVISION OF BOHOL. NEW-NORMAL HEALTH ASSESSMENT FORM FOR LEARNERS ‘Name of Learner: i: Seeieeeereneeeeiens Name of Parent/Guardian: Home Address: Grade Level: Instruction: Palihog og tubag sa mga musunod na pangutana kabahin sa panglawas sa inyong mga anak o alaga, General Assessment | ves | no ‘BODY TEMPERATURE [ _ Gihilantan (febrile) HEAD Koto lice) ___tusa (lice ega) : [ ae Kaspa (dandruff) | ‘Samad/nuka sa lo (wound/skin disease) Puno Ug uban pa (others) | EeNT (ounggan/Ears) | Magbasa/baho/bongog (otis media) Hubag/sa EENT (Mata/Eyes) Magpula/piskat (eye redness) _ Nogmuta-muta (eye discharges) ‘Buwinggit/ Bunge (tye) ‘Makita ang kaluspad inag bulikat sa ubos na bahin sa tabon-tabon sa mata (pateconjunctiva) Nag unk ucansiparateyegisses) Ug uban pa (others) ENT (long / Nose) | Sip-on (Colds) ang dunggan (inflammation/pain) Ping-ot ang ilong (nasal congestion) | Uz uban pa (thers) joule EE EENT (Totunlan/Throat)_ saat jaa Sakit/katol/uga ang tutonlan (sorethroat) ENT (Uog/Neck) 1 ayaa sana Om a | nec | HEART AND LUNGS: | bo (cough) | | Hubak (asthma) a | Lisod sa pag ginhawa (shortness of breath)Nag-agig sakit sa kasing-kasing/may kaliwat na may sakit sa kasing-kasing | ___{huba ang dughan, hu-o,gitusiok) z 0 fominal pain/hyperacidity) I Nagkalibanga (diarrhea) {Ug uban pa (others) : __GUT|PUS-ON/LOWER ABDOMEN (Para sa mga Babaye Lamang)) | | Kanus-a nagsugod og gidugo (menarche) Isulat ang tuig (ex. 2019) Sakit ang pus-on kung mag regla (dysmenorthea) | GUT (Bato / Kidney) Sakit inagpangih (pain upon urination) Gi bus-aw o sige og hi-ih (frequent urination) UPPER AND LOWER EXREMETIES / ARMS & LEGS (Paa ug Bukton) Depekto sa ti /paa/kamot/bukton (deformity of extremities) kung naa isulat Katol-katol (pruritus) Ap-ap/puti pti sa pani (white spots) Bur (ringworm) “Kongo / Kawgo (warts) Hubag (boi) Buges(acne) Kurikong (scabies) got (prickly heat) Na impeksyon na samad (infected wound) Samad (wound), gasgas, pangus, nadsdsan, ete | MEDICAL HISTORY: [ 1. Naka-agi ba og na-ospital ang bata? Kung Oo, unsa man ang iyang sakit? 2. Unsay sakito mga sat na naaglan sa bata? Kung aduna,palinug ug sulat 3. May namatikdan nga allergy sa pagkaon/tambal ug uban pa? Kung, aduna, palihog og sulat sa mga tambal o pagkaon. 4, Kumpleto ba siya sa bakuna? ‘5. Kinsa man ang iyang doctor? Pangalan ug Pima sa Ginikanan 0 Tigbantoy Petsa (Date)