La martiniere form 2026

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  1. Click ‘Get Form’ to open the la martiniere medical certificate in the editor.
  2. Begin by entering the child's name in the first field, followed by their class in the second field.
  3. Fill in the date of birth and then provide the child's weight and height in the respective fields.
  4. Document vaccination history by filling out the dates for TABC, BCG, Triple Antigen, and Tetanus inoculations.
  5. Indicate if vision is normal and confirm whether the child is free from infectious diseases.
  6. Assess and record the condition of the heart and general health status.
  7. Note any major illnesses, physical deformities, or treatments related to asthma or respiratory disorders.
  8. Provide details on any medications for heart conditions, epilepsy, or asthma as applicable.
  9. Complete any additional remarks and specify the blood group at the end of this section.
  10. Finally, ensure that both a parent/guardian's signature and a qualified medical practitioner's signature are included along with their registration number and contact information.

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