Scribd Logo
Upload

Welcome to Scribd!

  • 6 views

    Medical For Athletes 1

    Uploaded by

    marlou john lacdao
    This document is a medical certificate for a student to participate in school sports competitions up to the national Palarong Pambansa games. It contains the student's name, age, sex, and physical examination results for eyes, ears, mouth, cardiovascular system, lungs and more. The physician examines the student and determines if they are physically fit or unfit to participate in competitions at different levels - school, district, regional, and national. For each level of competition, the physician signs and dates the certificate with their findings and determination of fitness.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Medical For Athletes 1

    Uploaded by

    marlou john lacdao
    6 views1 page
    This document is a medical certificate for a student to participate in school sports competitions up to the national Palarong Pambansa games. It contains the student's name, age, sex, and physical examination results for eyes, ears, mouth, cardiovascular system, lungs and more. The physician examines the student and determines if they are physically fit or unfit to participate in competitions at different levels - school, district, regional, and national. For each level of competition, the physician signs and dates the certificate with their findings and determination of fitness.

    Original Title

    Medical for Athletes 1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a medical certificate for a student to participate in school sports competitions up to the national Palarong Pambansa games. It contains the student's name, age, sex, and physical examination results for eyes, ears, mouth, cardiovascular system, lungs and more. The physician examines the student and determines if they are physically fit or unfit to participate in competitions at different levels - school, district, regional, and national. For each level of competition, the physician signs and dates the certificate with their findings and determination of fitness.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views1 page

    Medical For Athletes 1

    Uploaded by

    marlou john lacdao
    This document is a medical certificate for a student to participate in school sports competitions up to the national Palarong Pambansa games. It contains the student's name, age, sex, and physical examination results for eyes, ears, mouth, cardiovascular system, lungs and more. The physician examines the student and determines if they are physically fit or unfit to participate in competitions at different levels - school, district, regional, and national. For each level of competition, the physician signs and dates the certificate with their findings and determination of fitness.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines MCForm - 1

    Revised as of September 26, 2019 DEPARTMENT OF EDUCATION


    ________________________
    (REGION)
    ______________________________
    (DIVISION)
    ______________________________
    (SCHOOL)
    ______________________________
    (School Address)

    MEDICAL CERTIFICATE
    f. thighs YES | NO YES | NO YES | NO YES | NO
    To Whom It May Concern: g. knees YES | NO YES | NO YES | NO YES | NO
    h. ankles YES | NO YES | NO YES | NO YES | NO
    This is to certify that I have personally examined ___________________ i. feet YES | NO YES | NO YES | NO YES | NO
    Name
    age ____ sex _____ and have found that he/she is physically fit unfit, 11. Neuromuscular YES | NO YES | NO YES | NO YES | NO
    (reflexes)
    during the time of examination, to join and participate in the lower meets up to
    Palarong Pambansa.
    School/Intrams/District Meet Remarks/Findings:

    _____________________________ Ht ._______cm FIT


    Event: ___________________________ Physician/Medical Officer Wt:_______kg
    (signature over printed name) BP.____________mmHg UNFIT
    PRC PR:____________bpm
    Physical Examination LICENSE: PTR NO. RR:____________cpm Date:
    School/Intrams/ Unit/Division Regional Palarong Unit/Division Meet Remarks/Findings:
    District Meet Meet Meet Pambansa
    _____________________________ Ht ._______cm FIT
    Normal Normal Normal Normal Physician/Medical Officer Wt:_______kg
    1. Eyes YES | NO YES | NO YES | NO YES | NO (signature over printed name) BP.____________mmHg UNFIT
    2. Ears, Nose, Throat YES | NO YES | NO YES | NO YES | NO PRC PR:____________bpm
    LICENSE: PTR NO. RR:____________cpm Date:
    3. Mouth and Teeth YES | NO YES | NO YES | NO YES | NO
    Regional Meet Remarks/Findings:
    4. Neck YES | NO YES | NO YES | NO YES | NO
    5. Cardiovascular YES | NO YES | NO YES | NO YES | NO _____________________________ Ht ._______cm FIT
    6. Chest and Lungs YES | NO YES | NO YES | NO YES | NO Physician/Medical Officer Wt:_______kg
    (signature over printed name) BP.____________mmHg UNFIT
    7. Abdomen YES | NO YES | NO YES | NO YES | NO PRC PR:____________bpm
    8. Skin YES | NO YES | NO YES | NO YES | NO LICENSE: PTR NO. RR:____________cpm Date:
    9. Genitalia-Hernia (male) YES | NO YES | NO YES | NO YES | NO Palarong Pambansa Remarks/Findings:
    10. Muskuloskeletal: ROM YES | NO YES | NO YES | NO YES | NO
    _____________________________ Ht ._______cm FIT
    a. neck YES | NO YES | NO YES | NO YES | NO
    Physician/Medical Officer Wt:_______kg
    b. spine YES | NO YES | NO YES | NO YES | NO (signature over printed name) BP.____________mmHg UNFIT
    c. shoulder YES | NO YES | NO YES | NO YES | NO PRC PR:____________bpm
    d. arms/hands YES | NO YES | NO YES | NO YES | NO LICENSE: PTR NO. RR:____________cpm Date:

    e. hips YES | NO YES | NO YES | NO YES | NO

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

    You might also like