Clinic Forms

Clinic forms
  • Individual student health record
  • Early dismissal form – medical reason
  • Hospital referral form
  • Permit to carry bag / use elevator & vehicle pass
  • should submit medical certificate from attending physician
  • Medical examination report for accidents
  • Temporary medical clearance

Procedure of Medical clearance prior to return to class
  • Present official excuse slip to the clinic personnel on the day of return to school
  • Submit a medical certificate issued by a duly licensed physician
  • Submit signed excuse slip to the Registrar’s office and secure re-entry permit

ATHLETIC PRE-PARTICIPATION EVALUATION FORM CLICK HERE.