Neftaly Medical Certificate for Medical Examination
Patient Confidentiality Notice
At Neftaly Medical, protecting your personal health information is our utmost priority. This medical certificate is issued following a thorough medical examination, conducted with strict adherence to patient confidentiality and privacy standards.
Medical Certificate
This is to certify that:
Patient Name: ___________________________
Date of Birth: ___________________________
Examination Date: ________________________
has undergone a comprehensive medical examination on the above date. The examination was performed by a licensed medical professional and covered the necessary assessments as required.
Findings and Certification:
Based on the examination, the patient’s health status is as follows:
[ ] Fit for work/activities
[ ] Requires further medical evaluation
[ ] Temporarily unfit until __________________
[ ] Other: ___________________________________
Confidentiality Statement:
All medical information obtained during the examination is confidential and protected under applicable privacy laws and ethical standards. Details contained in this certificate are disclosed only with the patient’s consent or as required by law. Neftaly Medical is committed to safeguarding patient privacy and ensuring that all health data is securely stored and managed.
Authorized Medical Practitioner:
Name: ___________________________
Qualification: ______________________
Signature: ________________________
Date: ____________________________
If you require any further information or clarification regarding this certificate, please contact Neftaly Medical directly.


