Ppe Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

TENET GLOBAL BUSINESS CENTER INC.

PRE-EMPLOYMENT PHYSICAL EXAMINATION SCHEDULE FORM

Date Issued: Valid Until:

Name: Age: Sex: [ ] Male [ ] Female


Pre-EMPLOYMENT PROCEDURES:
Complete Physical Examination
Complete Blood Count (CBC)
Urinalysis
Fecalysis
Chest x-ray
Drug Test (Shabu & Marijuana)

Important Reminders:
• This form may be presented to Aventus Medical Clinic (please refer below for the address) clinic together with any 2
valid government issued ID.
• Urine specimen container will be provided at the clinic. Kindly collect a mid-stream urine sample during the day of
examination and immediately submit to the laboratory. (Female can submit a specimen at least 7 days after the last
day of menstruation).
• The patient should collect a pea sized stool specimen in the morning before proceeding to the clinic and must be
submitted to the Laboratory within 2 hours after collection.
• A separate urine container will be provided for the Drug Test. It is advisable to have a full bladder for the required level of urine
(60ml).
• For the Drug test, patient is required to present 2 valid IDs (e.g. Bureau of Immigration ID / Alien Certificate of Registration (for
foreigners), Company ID (if still connected), Driver's license, Fire Arm license, GSIS ID, Integrated Bar of the Phils., NBI
Clearance, OFW ID, OWWA ID, Passport, Police clearance, Postal ID, PRC license, School ID, PWD ID, Seaman's Book,
Senior Citizen's ID, Solo Parent ID, SSS ID/UMID, TIN ID, Voter's ID) prior to any availment.
• Patient with Eyeglasses must bring it during the examination (for Visual Acuity).
• No fees will be collected from the patient. PPE costs are charged through Intellicare.
• All hard copy of PPE results should be forwarded to TENET GLOBAL BUSINESS CENTER INC. at 32nd
Floor, Seven/Neo Building, 5th Avenue, E Square Crescent Park, Bonifacio Global Center, Taguig City,
• Contact Person: Aileen Joy Danas (Recruitment Manager) Contact Person: 0917-816-6613

• Repeat examination/clearances (i.e repeat urinalysis, pulmo clearance, cardio clearance) will be shouldered
by the patient.

Maria Christina A. Bautista


Applicant’s signature Authorized HR Representative Signature
clinic copy

***************************************************************************************************************************** ********
Confirmation of Pre-employment Examination (HR copy)
(Once the above examination is complete, detach this portion and submit it to HR/Recruitment)

PPE TESTS COMPLETED: YES


WITH PENDING TEST/S: TO COME BACK ON:

Applicant’s printed name: Date: Time:


Applicant’s signature: Aventus Signature of Nurse-on-duty:
***************************************************************************************************************************** ********
CLINIC ADDRESS: Clinic Hours for PPE: Mon-Sat. 7am-3pm (no lunch break)
AVENTUS MAKATI CLINIC AVENTUS CLINIC-PCS AVENTUS CLINIC- STA. ROSA
6th Floor Filomena Bldg. 104 Amorsolo Street, Legaspi 2/F Philippine College of Surgeons, Edsa, 2nd Floor CARVAJAL Bldg. 2, National Highway,
Village Makati, Contact No: (02)8817‐2715, 8817‐1464 Quezon City (beside SM North Annex) (02) 8352‐4677 Balibago City, Sta. Rosa Laguna
AVENTUS ORTIGAS CLINIC AVENTUS CLINIC-U.N AVENUE Contact No:(049) 519‐4337
Unit 16, 18-20 Ground Floor AIC Grande 5th Floor, Times Plaza Building, U.N. Avenue AVENTUS CLINIC- CLARK
Tower, Sapphire road, Ortigas Center, Pasig Cor. Taft Avenue, Manila, Contact No: (02) 8353‐6807 Ground floor Tech Hub BPO Bldg. 5 SM Clark,
City, Contact No: (02) 8584‐2430 AVENTUS CLINIC-PASAY M.A. Roxas Highway,
AVENTUS CLINIC-ALABANG Scape Bldg. Macapagal Ave., cor. Pearl Drive, Brgy. Malabanias, Angeles City Pampanga
2nd Floor Sycamore ARC 1 Building, CBP, San Rafael, Brgy. 76, Pasay City Contact No: (045) 499‐8417, 499‐8419
Buencamino St., Alabang Zapote Road Contact No: (02) 8838‐0627, 8839‐0298 AVENTUS CLINIC-CEBU
Alabang, Muntinlupa City, Contact No: (02) 8556‐3598 AVENTUS CLINIC-BGC Unit 203 2/F TGU Tower I.T. Park
AVENTUS CALAMBA CLINIC Ground Floor, Unit 1 Citibank Plaza, Asiatolon, Apas, Cebu City
Unit 201-203 SQA Corporate Center, Brgy 1, 34th St. corner Lane D, Contact No: (032) 268‐8072, (032) 268‐9236
National Highway Crossing Calamba Laguna Bonifacio Global City Taguig
Contact No:(049) 508‐1806 Tel # (02) 8352‐8335
AVENTUS CUBAO AVENTUS MANDALUYONG
G/F Unit 17-18 Manhattan Parkview Tower One, Lower 2/F St. Francis Square Building Julia Vargas Ave.,
General Romulo Avenue, Barangay Socorro, corner Bank Drive Ortigas Center
Araneta City Cubao, Quezon City Mandaluyong City
Contact No: 8245 0976 Tel # 7255-8974; 8542 6578
HOW TO SET UP AN APPOINTMENT TO AVENTUS CLINICS

1. To book an appointment , please complete the following details. ** Required:


**COMPANY:
**FULL NAME:
**CONTACT #:
EMAIL ADDRESS:
**TYPE OF SERVICE:
**PREFERRED DATE:
**PREFERRED TIME:
**PREFERRED AVENTUS CLINIC BRANCH:
2. Members can schedule an appointment:
a. via email, you may use the template above:
[email protected] (Clinics: Makati, Manila,
North Edsa, Ortigas, Ayala North Exchange, Pampanga
[email protected] (Calamba, Pasay, BGC,
Alabang, Sta. Rosa )
[email protected] Cebu IT & Cebu
Cybergate )

b. via sms, you may use the template above:


Smart hotline: 0919 0867103 / 0919 0867104
Globe hotline: 0917 8033686 / 0917 8584526
3. Wait for the confirmation of Aventus Appointment setter for the confirmation of
your schedule. Aventus’ response time is 3‐ 5 working days upon the receipt of the
request.
4. Show up on your schedule and bring the following: Company or Any Valid ID, Face
Mask and Face shield.

IMPORTANT REMINDERS:
1. Patients should email Aventus to set an appointment 5 working days prior to the
PPE date for proper accommodation.
2. If the patient failed to visit the clinic on his/her schedule, he/she should set again
an appointment
3. No confirmed appointment, No PPE

You might also like