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    Certificado Medico

    Uploaded by

    Anamika Mishra
    This document is a medical certificate of good health that verifies an individual does not have any contagious diseases, addictions, or mental illnesses according to the International Health Regulations of 2005. The certificate must be completed by a physician stating the individual is free of diseases like smallpox, polio, SARS, cholera, plague, yellow fever, Ebola, West Nile virus, dengue fever, and meningitis. The doctor must sign, date, and stamp the original certificate which the individual will present along with a photocopy for their visa application.

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    Certificado Medico

    Uploaded by

    Anamika Mishra
    256 views2 pages
    This document is a medical certificate of good health that verifies an individual does not have any contagious diseases, addictions, or mental illnesses according to the International Health Regulations of 2005. The certificate must be completed by a physician stating the individual is free of diseases like smallpox, polio, SARS, cholera, plague, yellow fever, Ebola, West Nile virus, dengue fever, and meningitis. The doctor must sign, date, and stamp the original certificate which the individual will present along with a photocopy for their visa application.

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    medical certificate

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    This document is a medical certificate of good health that verifies an individual does not have any contagious diseases, addictions, or mental illnesses according to the International Health Regulations of 2005. The certificate must be completed by a physician stating the individual is free of diseases like smallpox, polio, SARS, cholera, plague, yellow fever, Ebola, West Nile virus, dengue fever, and meningitis. The doctor must sign, date, and stamp the original certificate which the individual will present along with a photocopy for their visa application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    256 views2 pages

    Certificado Medico

    Uploaded by

    Anamika Mishra
    This document is a medical certificate of good health that verifies an individual does not have any contagious diseases, addictions, or mental illnesses according to the International Health Regulations of 2005. The certificate must be completed by a physician stating the individual is free of diseases like smallpox, polio, SARS, cholera, plague, yellow fever, Ebola, West Nile virus, dengue fever, and meningitis. The doctor must sign, date, and stamp the original certificate which the individual will present along with a photocopy for their visa application.

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    © All Rights Reserved
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    Medical Certificate of Good Health

    This certificate verifies that Mr./Ms. ....................................................................................................


    is free of drug addiction, mental illness, and does not suffer from any disease that
    could cause serious repercussions to public health according to the specifications of
    the International Health Regulations of 2005. These contagious diseases include, but
    are not limited to smallpox, poliomyelitis by wild polio virus, the human influenza
    caused by a new subtype of virus and the severe acute respiratory syndrome (SARS),
    cholera, pneumonic plague, Bellow fever, viral hemorrhagic fevers (e.g.: Ebola,
    Lassa, Marbug), West Nile Virus and other illnesses of special importance nationally
    or regionally (e.g.: Dengue Fever, Rift Valley Fever, and meningococcal disease).

    Certificado Médico de Buena Salud

    Por el presente se certifica que el Sr./Sra. ..............................................................................................


    No padece ninguna drogodependencia, enfermedad mental o alguna de las
    enfermedades que suponen riesgo para la salud pública de conformidad con lo
    dispuesto en el Reglamento Sanitario Internacional de 2005. Estas enfermedades
    incluyen, entre otras, la viruela, poliomielitis por poliovirus, gripe humana causada por
    nuevos subtipos de virus, síndrome respiratorio agudo severo (SARS), cólera,
    neumonía, fiebre amarilla, las fiebres hemorrágicas virales (como el Ébola, Lassa,
    Marburgo, etc.), la fiebre del Nilo Occidental y otras enfermedades de ámbito nacional
    o regional (como el Dengue, fiebre del Valle del Rift, síndrome meningocócico, etc.)

    Original Physician Signature: ...........................................................


    Firma original del médico

    Place and date: ...........................................................


    Lugar y fecha

    Official Physician Stamp: ...........................................................


    Sello oficial del médico
    Instructions:

    See a doctor (MD or DO) and they will determine if you are of good health according to
    the International Health Regulation (2005). This PDF file can be sent electronically in
    order to be printed out on letterhead paper. The doctor may also use this sample as a
    guide to write their own certificate. Remember that it must specifically mention the
    International Health Regulations (2005). The doctor should then print out, sign, date
    and stamp the Medical Certificate. Make sure your name is filled out in both the Spanish
    and English portions. Bring the original Medical Certificate and a photocopy to your visa
    application appointment. We will seal and return your original document so that you can
    later present it in Spain. We will keep the photocopy to process your visa.

    Visa Department
    General Consulate of Spain
    5055 Wilshire Blvd. Suite 860
    Los Angeles, CA 90036
    cog.losangeles.vis@maec.es

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