Clinics’ Copy

OFFICE OF THE VICE PRESIDENT FOR ADMINISTRATION, PLANNING AND

DEVELOPMENT
Health Services Unit

Student Control No:

MEDICAL CLEARANCE
Academic Year 2023-2024

This is to certify that I have personally seen/examined __________________________________ and

found the student to be physically and medically FIT to enroll on the ______________ program.

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Students’ Copy

OFFICE OF THE VICE PRESIDENT FOR ADMINISTRATION, PLANNING AND

DEVELOPMENT
Health Services Unit

Student Control No:

MEDICAL CLEARANCE
Academic Year 2023-2024

This is to certify that I have personally seen/examined __________________________________ and

found student to be physically and medically FIT to enroll on the ______________ program.