Example of Medical Certificate
Cards / / July 04, 2021
The medical record or certificate is a document issued by a health professional with a professional license, in which the health status of a patient is recorded.
The medical certificate can be based on different tests, practices or physiological parts depending on the case for which it is required.
Example of medical certificate of physical disability:
The undersigned general practitioner Alicia Robirosa Sanchéz legally authorized to practice the profession of general practitioner, with professional license 23456-90976.
Certifies
That having performed a medical examination on May thirteenth, two thousand six at fourteen hours, Mr. Augusto Castañeda Irrigation, thirty-two years old, I found him: in excellent physical health without defects or anomalies in the apparatus locomotor; presents an integrated capacity and visual and auditory acuity; cardiovascular and respiratory equipment in optimal conditions; neurological examination revealed good coordination and reflexes.
Therefore, it is stated that Mr. Augusto Castañeda Riego does not present any type of impediment or physical disability.
This medical certificate is issued at the request of the interested party, Mr. Augusto Castañeda Riego, for whatever is convenient for him on the 30th day of June, two thousand and six.
Dr. Alicia Robirosa Sánchez
Ced. Prof. 23456-90976
Example of toxicological medical certificate:
The undersigned general practitioner Rodolfo Lagos Calles legally authorized to practice the profession of surgeon, with professional license 78965-8324
Certifies
That having performed a medical examination on August 2, two thousand eight at nine o'clock, Patricia Espinoza Tieso, eighteen years old, I found her: in perfect physical and mental health, without acute or chronic signs that reveal the use of any type of drug, narcotic or psychotropic. The urine test was evaluated in the laboratory and had a negative result in the presence of traces of any type of drug.
Therefore, it is stated that Patricia Espinoza Tieso does not present evidence of drug, narcotic or psychotropic use.
This medical certificate is issued at the request of the interested party, Patricia Espinoza Tieso, for whatever is convenient for her on the 30th day of August of 2008.
Dr. Rodolfo Calles Lagos
Ced. Prof: 78965-8324