Scribd Logo
Upload

Welcome to Scribd!

  • 25 views

    Medical Clearance

    Uploaded by

    Araling Panlipunan Tigbinan Nhs
    This document is a medical clearance form for Batang Pinoy 2022. It records an athlete's height, weight, temperature, blood pressure, and pulse rate from a physical examination. It also documents the athlete's COVID-19 vaccination record including the brand and dates of primary doses and any booster shots received. The physician certifies that the named athlete underwent a medical check-up on a specified date and location and was deemed fit to compete in Batang Pinoy 2022.

    Copyright:

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

    You might also like

    Medical Clearance

    Uploaded by

    Araling Panlipunan Tigbinan Nhs
    25 views1 page
    This document is a medical clearance form for Batang Pinoy 2022. It records an athlete's height, weight, temperature, blood pressure, and pulse rate from a physical examination. It also documents the athlete's COVID-19 vaccination record including the brand and dates of primary doses and any booster shots received. The physician certifies that the named athlete underwent a medical check-up on a specified date and location and was deemed fit to compete in Batang Pinoy 2022.

    Original Description:

    Original Title

    MEDICAL-CLEARANCE

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a medical clearance form for Batang Pinoy 2022. It records an athlete's height, weight, temperature, blood pressure, and pulse rate from a physical examination. It also documents the athlete's COVID-19 vaccination record including the brand and dates of primary doses and any booster shots received. The physician certifies that the named athlete underwent a medical check-up on a specified date and location and was deemed fit to compete in Batang Pinoy 2022.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    25 views1 page

    Medical Clearance

    Uploaded by

    Araling Panlipunan Tigbinan Nhs
    This document is a medical clearance form for Batang Pinoy 2022. It records an athlete's height, weight, temperature, blood pressure, and pulse rate from a physical examination. It also documents the athlete's COVID-19 vaccination record including the brand and dates of primary doses and any booster shots received. The physician certifies that the named athlete underwent a medical check-up on a specified date and location and was deemed fit to compete in Batang Pinoy 2022.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    BATANG PINOY 2022

    MEDICAL CLEARANCE

    PHYSICAL EXAMINATION

    Height ___________________________ Weight ________________________


    Temperature _____________________ Blood Pressure _________________
    Pulse Rate, Resting ________________ Respiratory Rate_________________

    Other remarks:____________________________________________________________________
    __________________________________________________________________________________

    COVID-19 VACCINATION RECORD


    Brand: __________________________
    Date: (1st Primary Dose) __________________ (2nd Primary Dose) __________________

    BOOSTER SHOTS
    Brand: __________________________
    Date: (1st Booster Dose) __________________ (2nd Booster Dose) __________________

    *NOTE:
     11 years old and younger (1st and 2nd dose)
     12 – 15 years old (2 shots + booster)

    I hereby certify that _____________________________________________ underwent medical


    (Full name of athlete)

    check-up on _____________________ at ______________________________________________


    (Date) (Address)

    and was diagnosed fit to compete in the Batang Pinoy 2022.

    Physician/Medical Officer
    (Signature over printed name)

    License No. ________________________


    PTR: ______________________________
    Date:______________________________

    You might also like