PNP HS MS FORM NO.

2012-01
2x2 colored picture with white
Republic of the Philippines
background and the name
NATIONAL POLICE COMMISSION
should appear below the
Philippine National Police
picture
National Capital Region Police Office
(LAST, FIRST, M.I.)
REGIONAL HEALTH SERVICE
Camp Bagong Diwa, Bicutan, Taguig City
PICTURE SHOULD BE WITHOUT
HEADGEAR, MOUSTACHE, EYE
MEDICAL HISTORY REPORT GLASSES OR SUN GLASSES
MEDICAL PRESCREEN QUESTIONNAIRE

DATE: CONTROL NO.:

LAST NAME FIRST NAME MIDDLE NAME QUALIFIER AGE SEX CIVIL STATUS

PERMANENT HOME ADDRESS (NUMBER, STREET, CITY OR TOWN PROVINCE) CONTACT NUMBER

DATE OF BIRTH PLACE OF BIRTH RELIGION PURPOSE OF EXAMINATION

NEXT OF KIN (NAME, RELATIONSHIP, ADDRESS, CONTACT NO.) BLOOD PRESSURE (mmHg) BMI (weight in kg/ height in meter squared)
- Date

Weight Height

INSTRUCTION: The instructions contained hereto and in the other medical forms are pertinent and vital. They shall be part of the personnel’s medical records. The
information you will give shall constitute an official statement. They are to be filled-up properly, honestly and with outmost integrity. If you are accepted into the PNP
based on a false statement herein you can be recommended for summary dismissal proceedings in the future.

PLEASE CHECK AND WRITE YOUR ANSWERS ON THIS QUESTIONNAIRE ON THE SPACE PROVIDED, may use additional sheet/s if necessary.

STATE OF HEALTH
DATE OF STABLE If deceased
1. FAMILY MEMBERS NAME w/ known Indicate
BIRTH Good Seriously ill
medical cause of
condition/s death

a. FATHER’S NAME

b. MOTHER’S NAME

c. SIBLINGS

d. SPOUSE’S NAME

e. CHILDREN’S NAME
2. FAMILY MEDICAL HISTORY
a. Have anyone in your family suffered from the following:
CONDITIONS YES NO RELATIONSHIP CONDITION YES NO RELATIONSHIP
Diabetes Hepatitis
Stroke Kidney Diseases
Heart Diseases Leukemia/Blood Cancers
High Blood Pressure Bleeding Disorders
Asthma Mental Disorder
Pulmonary Tuberculosis Drinking Problem
Goiter/Thyroid Disease Smoking Problem

b. Do you have any family member who died of heart disease? □ YES □ NO
If YES, indicate relationship and age at the time of death __________________________________________________________

3. PERSONAL SOCIAL HISTORY 4. WOMEN’S HEALTH HISTORY

Describe YES NO No. of

Age at start of Menses:
Pregnancies
Smoking ___ sticks ____ per day since _____
No. of Deliveries REGULAR □ YES □ NO
Stopped Smoking when ______________
Alcohol No. of Abortions DYSMENORRHEA □ YES □ NO
Stopped drinking alcohol when ___________ No. of
Miscarriages Menses Interval Menses Duration
Prohibited Drugs
Last menstrual period _______ days _______ days
Exercise ____min/s per day ____ x per month (date) _________
Right-handed Last Pap Smear:
Left-handed Normal: □ YES □ NO
Current Method of Contraception, if there’s any:
Usual Physical Activities/ Sports Played
(how often)________

5. VACCINATION HISTORY (Bring Vaccination Record)

* Incomplete or No Hepatitis B Vaccination – For repeat of 3 doses
* Complete Vaccination for more than 5 years – For Single booster dose
VACCINE YES NO WHEN NO. OF DOSES VACCINE YES NO WHEN NO. OF DOSES
Hepatitis A Typhoid
Hepatitis B Varicella (Chicken pox)
Influenza (Flu) Tetanus
Measles, Mumps,
Pneumonia
Rubella (MMR)
Others: Others:

6. MEDICATION HISTORY

a. Current Medications you are taking if there are any: b. Allergies to Medications, drugs, food, if there are any:

LAST NAME FIRST NAME MIDDLE NAME QUALIFIER RANK BADGE NO.
7. PAST MEDICAL HISTORY, HOSPITAL

Have you ever had or do you now have the following: YES NO Have you ever had or do you now have the following: YES NO
1. Asthma, wheezing, or inhaler use 35. Epilepsy, faints, seizures, or convulsions
2. Tuberculosis 36. Sleepwalking
3. Collapsed lung or other lung condition 37. Fainting spells or passing out
4. Pneumonia 38. Bed wetting at age 12
5. Whooping cough 39. Heat Exhaustion
6. Diphtheria 40. Absence or disturbance of the sense of smell
7. Anemia 41. Recurrent nose bleeding
8. Rheumatic Fever 42. Detached retina or surgery for retached retina
9. Malaria 43. Wear contact lenses
10. Chicken Pox 44. Night Blindness
11. Typhoid Fever 45. Any other eye condition, injury or surgery
12. Measles 46. Double vision
13. Mumps 47. Perforated ear drum or tubes in the ear drum/s
14. Passing out of worms (parasitic infection) 48. Recurrent ear infection
15. Ulcer 49. Frequent or severe headache
16. Hepatitis A or B 50. Recurrent neck or back pain
17. Jaundice (yellow discoloration of the skin and eyes) 51. Arthritis or frequent joint pains
18. Anorexia or other eating disorders 52. Fracture in any part of the body
19. Intestinal Obstruction (locked bowels) 53. Pain or swelling at the site of an old fracture
20. Gall Bladder Disease or gall stones 54. Swelling of joint
21. Kidney Disease, including kidney stones 55. Lower extremity weakness
22. Sexually-Transmitted Infections 56. Paralysis of any part of the body
23. Recurrent Urinary Tract Infections 57. Used any form of body support or braces
24. Missing Kidney 58. Donated blood
25. (Females only) Dysmenorrhea 59. Receive blood transfusion
26. (Males only) Missing a testicle, testicular implant 60. Eye surgery, including radial keratotomy, lens
or undescended testicle implant or other eye surgery to improve your vision
61. Ear surgery, to include repair of perforated ear drum,
27. Goiter or thyroid medications
hearing loss or need/ use of hearing aid
28. High blood sugar (diabetes) or with diabetes 62. Head injury, including skull fracture, resulting in
medications concussion, loss of consciousness, headaches, etc.
63. Dislocated joint, including knee, hip, shoulder, elbow,
29. High pressure or with hypertension medications
ankle or other joint
30. Irregular heartbeat including abnormally rapid or 64. Broken bone requiring surgery to repair (w/ o w/o
slow heart rates pins, plates, screws or other metal fixation devices)
31. Heart murmur, valve problem or mitral valve 65. Surgery to remove a portion of the intestine
prolapse (other than appendix)
32. Discharged from military service for medical 66. Any illnesses surgery, or hospitalization, not
reasons listed above
33. Been rejected for military service (temporary or 67. Evaluation, treatment or hospitalization for
permanent) for medical or other reasons alcohol abuse, dependence or addiction
34. Seen a psychiatrist, psychologist, social worker, 68. Evaluation, treatment or hospitalization for substance
counselor or other professional for any reason abuse, addiction or dependence (including illegal
(inpatient or outpatient) drugs, prescription medications)

Describe in detail every YES answer, including how it was known, treatment done, etc.

LAST NAME FIRST NAME MIDDLE NAME QUALIFIER RANK BADGE NO.
9. REVIEW OF SYSTEMS

Have you had problems with any of the following within the past year?

GENERAL YES NO LUNGS YES NO GENITOURINARY YES NO NEUROLOGIC YES NO

Weight loss or Gain Coughing up Blood Incomplete Urination Headaches
Fever Shortness of Breath Loss of Urine Dizziness
Chronic Fatigue Chronic Cough Painful Urination Seizures
Excessive Bleeding Blood clot in lungs Bloody Urine Numbness
Easy Bruising Painful breathing Frequent Urination Memory Loss
Increased Appetite Wheezing Night time urination Fainting Spells
Increased Thirst CARDIOVASCULAR Discharges: Penis/Vagina Tremors
Excessive Sweating Chest Pain/ Discomfort Unusual Vaginal Bleeding Loss of Coordination
EYES, EARS, MENSTRUAL
NOSE
Irregular Heart Beat Sexual Function Problems
PROBLEM
Itchy, Red Eyes Palpitations MUSKULOSKELETAL Cramps/Pain
Vision Problems Ankle/ Hand Swelling Muscle Weakness Heavy Bleeding
Frequent Colds Leg pain on walking Muscle Pain Too Frequent Periods
Bleeding between
Nasal Congestion GASTROINTESTINAL Joint Pains
periods
Ear Pain Frequent Diarrhea Joint Swelling Missed Periods
Clot in Leg Vein/ Leg BREAST
Ringing in Ears Constipation
Pain PROBLEMS
Hearing Loss Blood in the stools Varicosities Breast Pain
Sinus Problems Nausea/ Vomiting Low Back Pain Breast Lump
Nose Bleeds Hemorrhoids SKIN Nipple Discharge
THROAT Abdominal pain Acne EMOTIONAL
Sore Throat Bloating Rash Excessive Worrying
Mouth Sores Indigestion Oily Skin Depression
Dental Problems Heartburn/Reflux Dry Skin Problems with Sleep
Serious thoughts of
Trouble Change in bowel Change in mole
harming yourself or
Swallowing movement characteristics others

I certify that the above information are true and correct to the best of my knowledge. I understand that
failure to disclose pertinent personal medical information may affect the assessment and evaluation of any
medical officer to my physical fitness to perform my duties and functions.
I hold myself liable for perjury, falsehood, misrepresentation or omission, or act of dishonesty, if there is
willful failure to disclose pertinent medical information. I attest to the truthfulness of this undertaking and submit
to the legal and administrative consequences thereof if ever the statements above are wanting in truth and
substance.

_____________________ __________________________________
Date Signature Over Printed Name
Applicant

EVALUATOR:

________________________________________
PSUPT RENE DL ZUÑIGA
Signature Over Printed Name
MEDICAL OFFICER

LAST NAME FIRST NAME MIDDLE NAME QUALIFIER RANK BADGE NO.