Health Shield Declaration
I declare that I am not suffering from or been diagnosed with advised taken treatment or observation is suggested or undergone any investigation or consulted a doctor or undergone or advised surgery for any one or more from the following:
- High Blood Pressure, Heart Attack or any other Heart Disease, abnormal lipid levels;
- Stroke, Paralysis in any form, or any other Cerebrovascular Disease;
- Diabetes or thyroid/parathyroid or any other Endocrinal Disease, Any Kidney Disease;
- Acute / Chronic Liver (Failure/ Disease), Cirrhosis of Liver, Alcoholic liver disease; any pancreatic disease
- Any Lung Disease (e.g. Chronic Obstructive Pulmonary Diseases, Parenchymal lung Disease, Pulmonary Embolism etc.).
- Blood Disorders, Gastro-Intestinal Diseases, Ulcer or any other disorder of the bones, spine or muscle;
- Any Cancer or Cancerous growth;
- Any Mental or Psychiatric condition, any Genetic Disease, autoimmune or any disease related to central nervous system [disease related to brain]; Congenital conditions;
- HIV / AIDS or AIDS related complications,
- Covid positive in last 3 months
- Any h/o sudden loss of weight in last 1 yr