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OLSHCO MEDICAL FORM

Our Lady of the Sacred Heart College of Guimba, Inc.

School Health Examination Card - Learner's Medical Form

SCHOOL HEALTH EXAMINATION CARD

( LEARNER'S MEDICAL FORM )

Personal Information
Medical History (For Learners)
Digital Signatures
Upload image of signature (JPG, PNG)
Upload image of signature (JPG, PNG)

Data Privacy Notice

The DepEd / CHED shall engage in the collection of health / medical information for the purposes of tracking, provision of necessary health / medical interventions, and educational purposes. This information shall be processed in accordance with the provisions of the Data Privacy Act and the Data Privacy Policies of the Department.

This information shall be stored and held confidentially in accordance with the provisions of the Basic Education Act and may only be shared with other government agencies or third parties subject to Data sharing agreements and data privacy regulations for legitimate purposes only.

For inquiries, requests and concerns regarding your data privacy rights, please contact the data privacy compliance officer, team of the school, schools division office or regional office concerned.

I certify that the above information is true and correct.

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