|
| DECLARACION JURADA DE RECONOCIMIENTO MEDICO
| Divisién JUNTA PERMANENTE DE RECONOCIMIENTOS MEDICOS
fio
El presente documento deberd ser completado en forma manuscritay firmada por el interesado.
ste documento reviste cardcter de DECLARACION JURADA.
owe
[APELLIDO Y NOMA ONL
FEOHADE NACIMEENTO: 1:
bomicwo: PROVINCIA
TTELEFONO PARI AR:
{euétono cetuvaR
CODIGO DESTINO: DESCRIPCION:
i
AINDICAR. 13 (RESPONDA:
|
a er
‘Marque con una erar en el casero que corresponda ST [NO | OBSERVAGIONES
Es 0 ha sido paciente de junta Médica?
‘¢Fuma? Explicitar cuantos por dia
{ingiere bebidas alcohdlicas? 2Gual y en qué cantidad?
You might also like
- Her Body and Other Parties: StoriesFrom EverandHer Body and Other Parties: StoriesRating: 4 out of 5 stars4/5 (822)
- The Sympathizer: A Novel (Pulitzer Prize for Fiction)From EverandThe Sympathizer: A Novel (Pulitzer Prize for Fiction)Rating: 4.5 out of 5 stars4.5/5 (122)
- A Heartbreaking Work Of Staggering Genius: A Memoir Based on a True StoryFrom EverandA Heartbreaking Work Of Staggering Genius: A Memoir Based on a True StoryRating: 3.5 out of 5 stars3.5/5 (231)
- Team of Rivals: The Political Genius of Abraham LincolnFrom EverandTeam of Rivals: The Political Genius of Abraham LincolnRating: 4.5 out of 5 stars4.5/5 (234)
- On Fire: The (Burning) Case for a Green New DealFrom EverandOn Fire: The (Burning) Case for a Green New DealRating: 4 out of 5 stars4/5 (74)
- The Yellow House: A Memoir (2019 National Book Award Winner)From EverandThe Yellow House: A Memoir (2019 National Book Award Winner)Rating: 4 out of 5 stars4/5 (98)
- Devil in the Grove: Thurgood Marshall, the Groveland Boys, and the Dawn of a New AmericaFrom EverandDevil in the Grove: Thurgood Marshall, the Groveland Boys, and the Dawn of a New AmericaRating: 4.5 out of 5 stars4.5/5 (266)
- Shoe Dog: A Memoir by the Creator of NikeFrom EverandShoe Dog: A Memoir by the Creator of NikeRating: 4.5 out of 5 stars4.5/5 (540)
- The Unwinding: An Inner History of the New AmericaFrom EverandThe Unwinding: An Inner History of the New AmericaRating: 4 out of 5 stars4/5 (45)
- The World Is Flat 3.0: A Brief History of the Twenty-first CenturyFrom EverandThe World Is Flat 3.0: A Brief History of the Twenty-first CenturyRating: 3.5 out of 5 stars3.5/5 (2259)
- The Emperor of All Maladies: A Biography of CancerFrom EverandThe Emperor of All Maladies: A Biography of CancerRating: 4.5 out of 5 stars4.5/5 (271)
- Hidden Figures: The American Dream and the Untold Story of the Black Women Mathematicians Who Helped Win the Space RaceFrom EverandHidden Figures: The American Dream and the Untold Story of the Black Women Mathematicians Who Helped Win the Space RaceRating: 4 out of 5 stars4/5 (897)
- Grit: The Power of Passion and PerseveranceFrom EverandGrit: The Power of Passion and PerseveranceRating: 4 out of 5 stars4/5 (590)
- Elon Musk: Tesla, SpaceX, and the Quest for a Fantastic FutureFrom EverandElon Musk: Tesla, SpaceX, and the Quest for a Fantastic FutureRating: 4.5 out of 5 stars4.5/5 (474)
- The Little Book of Hygge: Danish Secrets to Happy LivingFrom EverandThe Little Book of Hygge: Danish Secrets to Happy LivingRating: 3.5 out of 5 stars3.5/5 (401)
- The Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good LifeFrom EverandThe Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good LifeRating: 4 out of 5 stars4/5 (5810)
- The Hard Thing About Hard Things: Building a Business When There Are No Easy AnswersFrom EverandThe Hard Thing About Hard Things: Building a Business When There Are No Easy AnswersRating: 4.5 out of 5 stars4.5/5 (348)
- Never Split the Difference: Negotiating As If Your Life Depended On ItFrom EverandNever Split the Difference: Negotiating As If Your Life Depended On ItRating: 4.5 out of 5 stars4.5/5 (844)
- The Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You AreFrom EverandThe Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You AreRating: 4 out of 5 stars4/5 (1092)
- Curriculum PlaulDocument5 pagesCurriculum PlaulSol RuizNo ratings yet
- Catamarqueños - La Raza SufridaDocument3 pagesCatamarqueños - La Raza SufridaSol RuizNo ratings yet
- 21 - 51Document31 pages21 - 51Sol RuizNo ratings yet
- Pozo, J. El Conductismo Como Programa de Investigación en Teorías Cognitivas Del Aprendizaje.Document7 pagesPozo, J. El Conductismo Como Programa de Investigación en Teorías Cognitivas Del Aprendizaje.Sol RuizNo ratings yet
- 'Scaglia. Psicología. Conceptos Preliminares'.2024Document7 pages'Scaglia. Psicología. Conceptos Preliminares'.2024Sol RuizNo ratings yet
- Clase 4 - Sociedad y Estado en El Mundo ModernoDocument4 pagesClase 4 - Sociedad y Estado en El Mundo ModernoSol RuizNo ratings yet
- Teoría Del AprendizajeDocument3 pagesTeoría Del AprendizajeSol RuizNo ratings yet
- Clase 5Document12 pagesClase 5Sol RuizNo ratings yet
- Paradigma de La ComplejidadDocument3 pagesParadigma de La ComplejidadSol RuizNo ratings yet
- Actividad - Historia de La PsicopedagogiaDocument1 pageActividad - Historia de La PsicopedagogiaSol RuizNo ratings yet
- Actividad - Teorias Del AprendizajeDocument1 pageActividad - Teorias Del AprendizajeSol RuizNo ratings yet
- Clase 4Document7 pagesClase 4Sol RuizNo ratings yet
- Clase 7Document2 pagesClase 7Sol RuizNo ratings yet
- Clase 2Document11 pagesClase 2Sol RuizNo ratings yet
- Clase 3Document9 pagesClase 3Sol RuizNo ratings yet
