Emails:
- Payments
- School Result Portal
Admission
- Apply Online
School Direction
School Galleries
Lates News

Search

Home
About Us
News|Events
Academics|E-Learning
Admission
Payments
Portal
Team
Students Life
Alumni
Contact Us

Medical Form for New Students

Jul04

Posted by admin
Posted in Uncategorized

Medical Form

Surname *
Other Names *
Age e.g. 15
Sex *

MEDICAL HISTORY

any previous illness, (physical or mental) and how it was treated

Serious *

YesNo

Asthma *

YesNo

HBSS

YesNo

Any physical deformity?

Details of any current medication

Has/does any member of your family suffered/suffer from the under listed? *

YesNo

If yes, which? (heart disease, hypertentic disease, asthma, tuberculosis, mental illness, diabetes)

Is your child A peptic Ulcer Patient? *

yesNo

Seizure?

YesNo

Does your child require more than 3 meals and 2 snacks per day? *

YesNo

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Downloads:

Below are other medical questionnaires students should download, fill and submit to school

Generalexamination

Generalexamination
generalexamination.png

80.7 KiB
643 Downloads
Details

General examination of student. This form needs to be filled by a physician, and returned to school

Date:

July 4, 2015

Lumen Chrsiti International High School

P.O. Box 298, Uromi, Edo State.
TelephoneTel:+2347059568564, +2348035417323
International N|A
email info@lumenchristischool-uromi.org

Subscribe to our Newsletter

Email *

Our Gallery

Quicklinks

Emails:
- Payments
- School Result Portal
Admission
- Apply Online
School Direction
School Galleries
Lates News

©2018 Lumen Christi International High School. ALL RIGHTS RESERVED

Follow us