yet, w | Republic of the Philippines: Department of Education REGION VII - CENTRAL VISAYAS Office of the Regional Director REGIONAL MEMORANDUM wor 4 om No.0 5 48,5. 2020 NEW NORMAL HEALTH ASSESSMENT FORM FOR LEARNERS. To: Schools Division Superintendents Assistant Schools Division Superintendents Schools Health and Nutrition Personnel All Others Concerned 1. Health assessment plays a critical 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, 2. __ 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 them accordingly. Likewise, this will aid in the profiling of the learners and serve as basis for future stakeholders’ support, Furthermore, this will also augment in the implementation of the Oplan sa Kalusugan sa DepEd in these challenging times. 3. . Funds for the printing of this form shall be chargeable against the school MOOB/local funds subject to the usual accounting and auditing rules and regulations 4, Attached herein is a copy of the New Normal Health Assessment Form for Learners 5. Immediate dissemination of this Memorandum is desired. @ SALUSTIANO T. JIMENEZ JD, EdD, CESO V Director III OIC-Regional Director ‘sTu/cas/ESSD/TTH/RMY Address: Do‘ia M. Gaisano St., Sudlon, Lahug, Cebu City ) Telephone Nos.: (032) 231:1433; (032) 414-7399 Email Address: region7@deped.gov.phRepublic of the Philippines Department of Education W NORMAL HEALTH ASSESSMENT FORM FOR LEARNERS INAME OF LEARNER Date of Birth Grade [Senoo [Name of Parent/Guardian: Contact Number ( iephoneleell 90) Home Address Palas ug tubag sa mga masonod na pangutana haba s pana Tnyong mga anak ‘General Assessment [_ves_T xo T REMARKS LEVEL OF CONSCIOUSNESS (LOC) Sanyoimaktubag ss pangotana (conscious and coherend) I T I BODY TEMPERATURE. [Ginilantan (febrile I I I MEAD. koxo cic usa dice aa) [Kaspa (dandy [Samad/muka saul (wound! skin disease) Pun: : [i uban pat omer) FENT (Dunggan Ears) Maghssarbahovboog otitis media) ubag/sait ang dunggan (inflammationypain) EENT (Mata/E yes) Magpula/piskat (eye an) [Naginua-nuta eye discharges [Buwinget ye) [Luspad ang con netve (pale sonjunetna) Naggamit ug anipars (eyeglasses) fuguban pa cers) IEENT (Nosellong) Sip colds) Ping-ot (nasal congeson) [uz uban pa cers) EENT (Fotunlan/Toroat) SakivKato ugh oretivoat) aga ang aoa I I EENT (Liog Neck) [Lusay kod su dunggan ug sa Tog (mph nodes tine back ofthe ears ndnesi) r T IMEART AND LUNGS. bo cough) z Hubak (asthma) Lisod pag ginhawa(horiness of Breath) Nagai ski sa kasng-kasng/ may kalfwat na may Sakis Kasng-kasing (ue ang |dughan, hue gitusok) ABDOMEN. Saki sa kul Futo (upper abdominal pain] ype [nagkalibanga rea ug uban pa (Others) [GUT [PUS-ON/ LOWER ABDOMEN (Para Su Mgn Kanai unanggidugo (menarche) sua ang uig ex. 2019) Saki ang pu-on kung nag regla Gysmenorthea) [GUT [Bato (Kidney) Sakic pangih (pain upon uation) [Gi busaw sig hh equent urination) UPPER AND LOWER EXTREMITIES! ARMS & LEGS (Pas ug Bukion) Depekto sa tillpawkaroubukion deformity ofexremeties) kung na isulat [SKIN ani may nanurok Crass) atta (pruritus) pap! pupal sa pa (wie pO) [Bun (ingworn) Kongo (wars) bag (oil [Bugas (acne) [Kunkong (scabies) [Bungag ingot pricRy ea [Ne inpeksyon na samad Gnfcied wound) [Samad (wound), 35055, pangus nadisdisaf MEDICAL HISTORY: FT Naospital ang bara karisdio? [2 Unsay skit o mga sakit na naagian sa bata? Kung dune alg ux sult ‘May namatkan aga allergy sa paskaontambal uz uban pa? [Kumpleto ba siya sa bakuna? [Kins ia Doctor Assessed by: ae