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BFP Initial Screening Form Guide

The document appears to be an initial screening form from the Bureau of Fire Protection in the Philippines which collects an applicant's personal information such as name, address, contact details, and medical information including blood pressure, visual acuity, and BMI for the purpose of an examination to determine fitness for service with potential waivers for conditions like obesity. The form has sections for the applicant to fill out their information and for BFP station personnel to record their general evaluation findings.

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DianePaguiaAngeles
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138 views2 pages

BFP Initial Screening Form Guide

The document appears to be an initial screening form from the Bureau of Fire Protection in the Philippines which collects an applicant's personal information such as name, address, contact details, and medical information including blood pressure, visual acuity, and BMI for the purpose of an examination to determine fitness for service with potential waivers for conditions like obesity. The form has sections for the applicant to fill out their information and for BFP station personnel to record their general evaluation findings.

Uploaded by

DianePaguiaAngeles
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of the Interior and Local Government


BUREAU OF FIRE PROTECTION
HEALTH SERVICE
Region 3
INITIAL SCREENING FORM

FORM 1
TO BE FILLED OUT BY THE APPLICANT

1. LAST NAME FIRST NAME MIDDLE NAME

Recent Passport
2. HOME ADDRESS 3. RELIGION Right thumb
size
mark
<6 months
4. GENDER CIVIL STATUS [Link] 6. MOBILE NO.

7. DATE AND PLACE OF BIRTH(mm/dd/yyyy) [Link] AND TIME OF


EXAMINATION

[Link] OF EXAMINATION: [Link] Applicant’s Signature

STEP:1 GENERAL INITIAL EVALUATION


(To be filled up by the BFP station personnel)
CRITERIA FINDINGS
BP: RR: CR:
Visual Acuity:
CB Test:
WEIGHT
HEIGHT with waiver
without waiver

BMI
normal underweight obese 1 obese 2 obese 3

(encircle the BMI result on the chart)

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