Medical Outreach Pre-registration

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Medical Outreach Pre-registration

Who can participate: Davao City Residents

When: 2 April 2023 (Sunday) at 8:00 am to 12:00 pm
Where: Administration Building, University of the Philippines Mindanao, Mintal, Davao City

Organizer: University of the Philippines Mindanao- Office of Extension and Community Service
Contact us at oecs.upmindanao@up.edu.ph

All the information that you provide will be treated with the utmost confidentiality.

Name (Surname, First Name, Middle Initials) *

Email *

Sex *

Male

Female

Age *

Occupation: *

Barangay *

Contact Number *

Services needed:

Medical check-up

Surgical Excision

Circumcision (Tuli)

Eye check-up/ vision screening

其他：

必填

Please indicate the reasons why you would like to see a doctor.

Ano ang mga dahilan kung bakit nais mong magpakonsulta sa doktor?

Experiencing unexplained bodily discomfort/ May nararamdaman sa pangangatawan na di mapaliwanag

Symptoms that persist despite treatment/ May sintomas na hindi gumagaling

Experiencing unusual changes in the body or unfamiliar sensations/ May nararanasang pagbabago sa katawan o nararamdamang hindi pangkaraniwan

With medical condition or family history requiring regular check-ups/ May kondisyon o family history na kailangan ng regular na pagsusuri

其他：

How often do you go for medical check-ups?

Once a year

Twice a year

More than twice a year

Have not gone in the past one year

Have not gone in the past two years

其他：

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