Scribd Logo
Upload

Welcome to Scribd!

  • Medical and Dental Clearance.1 2017

    Uploaded by

    cristina tamonte
    68 views2 pages
    medical and dental form

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    medical and dental form

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    68 views2 pages

    Medical and Dental Clearance.1 2017

    Uploaded by

    cristina tamonte
    medical and dental form

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Republic of the Philippines

    Department of Education
    Region IV – A CALABARZON
    Division of Laguna
    Santa Cruz

    _______________________________
    Date

    MEDICAL CLEARANCE
    To: District Supervisor
    District of Santa Cruz

    Sir/Madam:

    This is to certify that __________________________________________________________

    of___________________________________________________________Elementary/ Secondary has

    complied with Annual Medical Examination required of school personnel.

    _________________________
    Medical Officer

    Note: Should be required/collected by the District


    Supervisor before SY ends for old employees
    And immediate before 1st day of service for
    new appointees

    Republic of the Philippines


    Department of Education
    Region IV – A CALABARZON
    Division of Laguna
    Santa Cruz

    _______________________________
    Date

    MEDICAL CLEARANCE
    To: District Supervisor
    District of Santa Cruz

    Sir/Madam:

    This is to certify that ____________________________________________________________

    of___________________________________________________________Elementary/ Secondary has

    complied with Annual Medical Examination required of school personnel.

    _________________________
    Medical Officer

    Note: Should be required/collected by the District


    Supervisor before SY ends for old employees
    And immediate before 1st day of service for
    new appointees
    Republic of the Philippines
    Department of Education
    Region IV – A CALABARZON
    Division of Laguna
    Santa Cruz

    _______________________________
    Date

    DENTAL HEALTH CLEARANCE


    To: District Supervisor
    District of Santa Cruz

    Sir/Madam:

    This is to certify that ____________________________________________________________

    of___________________________________________________________Elementary/ Secondary has

    complied with Annual Dental Examination required of school personnel.

    _______________________
    Dentist

    Note: Should be required/collected by the District


    Supervisor before SY ends for old employees
    And immediate before 1st day of service for
    new appointees

    Republic of the Philippines


    Department of Education
    Region IV – A CALABARZON
    Division of Laguna
    Santa Cruz

    _______________________________
    Date

    DENTAL HEALTH CLEARANCE


    To: District Supervisor
    District of Santa Cruz

    Sir/Madam:

    This is to certify that ____________________________________________________________

    of___________________________________________________________Elementary/ Secondary has

    complied with Annual Dental Examination required of school personnel.

    _________________________
    Dentist

    Note: Should be required/collected by the District


    Supervisor before SY ends for old employees
    And immediate before 1st day of service for
    new appointees

    You might also like