Health examination for work permit for foreigners working in Vietnam

Criteria for health examination for work permit for foreigners working in Vietnam

Post date: 30-09-2022

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Health examination for work permit for foreigners working in Vietnam

Health certificate is a mandatory requirement to issue work permits for foreigners working in Vietnam.

The criteria for health examination to issue work permits for foreigners working in Vietnam comply with Appendix 1 of Circular No. 14/2013/TT-BYT of the Ministry of Health of Vietnam, including:

Photo

(4 x 6cm)

Full name (capital letters)………….………………………...….
Gender: Male □ Female □ Age: ............
Number of ID card or Passport: ....... issuance date:........…/……..,

issuance place:………………
Current address:…………………………………….......................…

Reasons for health examination:...........................................................

HEALTH HISTORY OF APPLICANT

1. Family history:
Does anyone in your family have one of the following diseases: infectious, cardiovascular, diabetes, tuberculosis, bronchial asthma, cancer, epilepsy, mental disorders, other diseases:
a) No □; b) Yes □; If “yes”, please specify the name of the disease: …………………….
2. Personal history: Have you/are you suffering from any of the following conditions: Infectious diseases, cardiovascular diseases, diabetes, tuberculosis, bronchial asthma, cancer, epilepsy, disorders mental disorders, other diseases: a) No □; b) Yes
If “yes”, please specify the name of the disease: ……………………..
3. Other questions (if any):
a) Do you have any medical treatment? If yes, please list medications you are taking and dosage:…………
b) Maternity history (For women): ……………………

I hereby declare that the foregoing is true and correct to the best of my knowledge.

.......... date.......... month.........year...............
APPLICANT
(Sign and full name)

I. PHYSICAL EXAMINATION
Height: ............cm; Weight: ............ kg; BMI index: ............
Pulse: ............times/minute; Blood pressure: .................. /......................... mmHg
Physical classification: ........................................

II. CLINICAL EXAMINATION

Examination Items

Signatures, full names of Doctor

1. Internal medicine
a) Circulatory: ..................................................................
Classification ...................................................................
b) Respiratory: .................................................................
Classification ..................................................................
c) Digestion: .................................................................
Classification ...................................................................
d) Renal-Urinary: ......................................................
Classification ..............................................................
d) Musculoskeletal: ..............................................................
Classification...........................................................................
e) Nervous: ...........................................................................
Classification ......................................................................
g) Mentality: ...........................................................................
Classification .....................................................................
2. Surgery: .............................................................................
Classification ....................................................................
3. Obstetrics and Gynecology: ...........................................
Classification ..................................................................
4 eyes:
- Results of vision examination:
No glasses: Right eye: ..... Left eye: ...
With glasses: Right eye: ............ Left eye: ...........
- Eye diseases (if any): ......................................................
- Classification: .....................................
5. Ear-Nose-Throat
Hearing test results:
Left ear: Spoken:.............................. m; Whisper: .........m
Right ear: Normal speech:................... m; Whisper:……m
- Ear, nose and throat diseases (if any): ……………………..
- Classification: ..........................................................
6. Teeth-Molar-Facial
- Examination results: + Upper jaw: .................
+ Lower jaw: ...........
- Diseases of Teeth-Molars-Facial (if any) .....................
- Classification: ........................................................................
7. Dermatology: ............................ ..............................
Classification:............................................... ..

III. PRECLINICAL EXAMINATION

Examination Items

Signatures, full names of Doctor

1. Blood test:
a) Complete blood count: HC count: ......................

WBC count: .........................

Platelet count: ........................

b) Blood biochemistry:

Blood sugar: ....................

Urea: ......... Creatinine: ..........

ASAT (GOT): ....... ALAT (GPT): ...... ...
c) Other (if any): ..................................................
2. Urine test:
a) Sugar: ................................................................
b) Protein: ..................................................................
c) Other (if any): ……………………. .................
3. Diagnostic imaging: ................................. .................

IV. CONCLUSION
1. Health classification: ................................................................
2. Diseases and illnesses (if any):..................................................

................. date.......... month.........year...............
CONCLUSION DOCTOR
(Sign, full name and seal)

Note: Health classification:
-Type I: Very strong
-Type II: Healthy
-Type III: Medium
-Type IV: Weak
-Type V: Very weak

Any information about health examination for work permit for foreigners working in Vietnam, feel free to contact with us,

LAWYER VIETNAM LAW FIRM

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Francis Stewart (15-04-2023) Reply Cancel

Can provinces request an hiv test and refuse a work permit if you’re HIV positive. A teacher work permit. Long Xuyen have classed me as not healthy for work
Kim Dews (17-11-2022) Reply Cancel

I am in the UK. I need a Vietnamese Medical Certificate using an offical Vietnamese Medical Form so I can take it to an organization here in UK to complete. Do you have a copy of the offical vietnamese Medical Form Please? Thank you in advance - Kim
Mark kenny (17-11-2022) Reply Cancel

I need an official copy of the "health certificate" for a doctor to fill out in england. It is an employee of mine. The doctors can complete bit she needs to provide the form. Can you help me with this?