Scribd Logo
Upload

Welcome to Scribd!

  • 83 views

    Medical Certificate: (Coaches, Assistant Coaches, Chaperone)

    Uploaded by

    Kevin White
    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in athletic competitions from intramural meets up to the Palarong Pambansa national games. The document records the individual's height, weight, blood pressure, pulse rate, and respiration rate at each level of competition. The examining physician's signature, professional registration certificate number, and license information are provided to validate the fitness determination.

    Copyright:

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

    Medical Certificate: (Coaches, Assistant Coaches, Chaperone)

    Uploaded by

    Kevin White
    83 views1 page
    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in athletic competitions from intramural meets up to the Palarong Pambansa national games. The document records the individual's height, weight, blood pressure, pulse rate, and respiration rate at each level of competition. The examining physician's signature, professional registration certificate number, and license information are provided to validate the fitness determination.

    Original Title

    Medical-for-Coaches-Asst-Coaches-Chaperones

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in athletic competitions from intramural meets up to the Palarong Pambansa national games. The document records the individual's height, weight, blood pressure, pulse rate, and respiration rate at each level of competition. The examining physician's signature, professional registration certificate number, and license information are provided to validate the fitness determination.

    Copyright:

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

    Medical Certificate: (Coaches, Assistant Coaches, Chaperone)

    Uploaded by

    Kevin White
    This medical certificate certifies that an individual named has been examined and found physically fit or unfit to participate in athletic competitions from intramural meets up to the Palarong Pambansa national games. The document records the individual's height, weight, blood pressure, pulse rate, and respiration rate at each level of competition. The examining physician's signature, professional registration certificate number, and license information are provided to validate the fitness determination.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 1

    Revised as of September 26, 2019

    Republic of the Philippines MCForm - 3


    DEPARTMENT OF EDUCATION
    REGION III – CENTRAL LUZON
    (Region)
    SAN JOSE DEL MONTE CITY
    (Division)
    ______________________________
    (School)
    ______________________________
    (School Address)

    MEDICAL CERTIFICATE
    (COACHES, ASSISTANT COACHES, CHAPERONE)

    __________________
    (Date)
    To Whom It May Concern:

    This is to certify that I have personally examined ____________________________


    Name
    age ______ sex _____ and have found that he/she is physically fit unfit, during

    the time of examination, to join and participate in the lower meets up to Palarong Pambansa.

    Event: ATHLETICS

    Physical Examination

    School/Intrams/District Meet Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm
    Unit/Division Meet Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm
    Regional Meet Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm
    Palarong Pambansa Remarks/Findings:

    ________________________________________ Ht ._______cm Wt:_______kg FIT


    Physician/Medical Officer
    BP.____________mmHg
    (signature over printed name) UNFIT
    PRC PR:____________bpm
    LICENSE: PTR NO. Date:
    RR:____________cpm

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

    You might also like