Scribd Logo
Upload

Welcome to Scribd!

  • Medical For Coaches Asst Coaches Chaperones

    Uploaded by

    MELVIN GABAC
    3 views1 page
    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in sporting events. The document contains spaces to record physical measurements and medical clearance for different levels of competition, from intramural and district meets up to the national Palarong Pambansa games. Physicians are to sign off on clearance at each level after examining the individual's height, weight, blood pressure, pulse rate, and respiratory rate.

    Original Description:

    Original Title

    Medical-for-Coaches-Asst-Coaches-Chaperones

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in sporting events. The document contains spaces to record physical measurements and medical clearance for different levels of competition, from intramural and district meets up to the national Palarong Pambansa games. Physicians are to sign off on clearance at each level after examining the individual's height, weight, blood pressure, pulse rate, and respiratory rate.

    Copyright:

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

    Medical For Coaches Asst Coaches Chaperones

    Uploaded by

    MELVIN GABAC
    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in sporting events. The document contains spaces to record physical measurements and medical clearance for different levels of competition, from intramural and district meets up to the national Palarong Pambansa games. Physicians are to sign off on clearance at each level after examining the individual's height, weight, blood pressure, pulse rate, and respiratory rate.

    Copyright:

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

    Revised as of September 26, 2019 MC Form - 3

    Republic of the Philippines


    Department of Education
    REGION VIII
    DIVISION OF SAMAR
    DISTRICT OF MOTIONG
    MOTIONG CENTRAL ELEMENTARY SCHOOL
    MOTIONG, SAMAR

    MEDICAL CERTIFICATE
    (COACHES, ASSISTANT COACHES, CHAPERONE)

    __________________
    (Date)
    To Whom It May Concern:

    This is to certify that I have personally examined __________________________


    Name
    age ______ sex _____ and have found that he/she is physically fit unfit,
    during the time of examination, to join and participate in the lower meets up to Palarong
    Pambansa.

    Event: ___________________________

    Physical Examination
    School/Intrams/District Meet Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm

    Unit/Division Meet Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm
    Regional Meet Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm
    Palarong Pambansa Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

    You might also like