1. Hospital Forms

2. MEDICAL CERTIFICATE:
 is a document stating either that a person has passed a medical examination, or that a person is unfit for work for a stated period of time.
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3. WORDS:
Undersigned: Signed or having signed at the bottom or end of a document.
Certify: To confirm formally as true, accurate, or genuine.
Nationality: The status of belonging to a particular nation by origin, birth, or naturalization.
Residing at: address.
Afflicted:  affected especially by disease; suffering.

4. Hepatitis B: is an infectious illness caused by hepatitis B virus (HBV) which infects the liver and causes an inflammation called hepatitis.
Hepatitis C:  is an infectious disease affecting the liver, caused by the hepatitis C virus (HCV).
Tuberculosis:  MTB or TB (short for tubercles bacillus) an infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis in humans. Tuberculosis usually attacks the lungs but can also affect other parts of the body.

5. Syphilis: is a sexually transmitted disease caused by the spirochetal bacteria Treponema pallidum.
Issued at: place where the document/certification was printed or given.
Stamps of doctor’s office: seal; mark.

6. Referral:
Referral: a recommendation to consult the (professional) person or group to whom one has been referred;
Ex. “The insurance company says that you need a written referral from your physician before seeing a specialist."
Referral Letter

7. Samples of Referral Forms:

8. Appointment Form:

11. MEDICAL HISTORY FORM: ID & DEMOGRAPHICS: name, age, height, weight.
CHIEF COMPLAINT: major health problem & time course.
E.g.. Chest pain for 3 hours.
HISTORY OF PRESENT ILLNESS: details about the complaint.
PAST MEDICAL HISTORY
REVIEW OF SYSTEMS: systematic questioning about different organs.
FAMILY HISTORY
MEDICATION/DRUG HISTORY
SOCIAL HISTORY

13. MEDICAL CERTIFICATE:
 is a document stating either that a person has passed a medical examination, or that a person is unfit for work for a stated period of time.
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14. THANK YOU..