CERTIFICAT MEDICAL - Lepape-Infocom 2026

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The document is a medical certificate issued by a doctor confirming that an individual is fit to participate in competitive running, with no contraindications found during the examination.

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Click ‘Get Form’ to open the CERTIFICAT MEDICAL - Lepape-Infocom in the editor.
Begin by entering the name of the doctor in the designated field: 'Je, soussigné Dr _________'. This identifies the certifying physician.
Next, fill in the patient's name under 'M/Mme___________'. Ensure accuracy for proper identification.
Provide the date of birth and age of the patient in their respective fields: 'Date de naissance : _______' and 'Age : ______'.
In the section stating 'ne révèle pas de contre-indication à la pratique de la course à pied en compétition', confirm that there are no contraindications for competitive running.
Complete the location where the certificate is established by filling in 'Certificat établi à : ___________'.
Finally, enter the date and ensure that the physician signs and stamps at the bottom of the form.

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2011	4.3 Satisfied (46 Votes)

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