6SHFLMDOLVWLþNDSHGLMDWULMVNDRUGLQDFLMD'RORUHV*DOO6YLGHUHN

dr.med.spec.pedijatar
Cambierieva 7, 51000 RIJEKA
OIB: 93154929438
Tel.: +38551212235 Fax:
Šifra ordinacije: 259725978 PU: Rijeka
/LMHþQLN Dolores Gall-Sviderek, dr.med.spec.pedijatar
E-mail:dr.dolores.gall.sviderek@gmail.com

POTVRDA O OBAVLJENOM SISTEMATSKOM ZDRAVSTVENOM PREGLEDU

35('â.2/6.2*'-(7(7$35,-(83,6$8'-(ý-,957,û

Ime i prezime: 0$7(--$.,û

'DQPMHVHFLJRGLQDURÿHQMD 14.4.2020.

OIB: 61809989662

2EDYOMHQVLVWHPDWVNLSUHJOHGNRGOLMHþQLND DA

Obavljen sistematski pregled doktora dentalne NE

medicine
Dijete je uredno (redovito) cijepljeno DA

Razlozi zbog kojih nije provedeno cijepljenje:

0MHUHSRVHEQHVNUELXGMHþMHPYUWLüX NISU POTREBNE

NAPOMENE

',-(7(,6381-$9$='5$9679(1(89-(7(=$83,68'-(ý-,957,û DA

Datum: 07.06.2021 Dolores Gall-Sviderek, dr.med.spec.pedijatar

)DNVLPLOLSRWSLVOLMHþQLND

6XNODGQRWRþNL93URJUDPD]GUDYVWYHQH]DãWLWHGMHFHKLJLMHQHLSUDYLOQHSUHKUDQHGMHFHXGMHþMLPYUWLüLPDª1DURGQHQRYLQH©EULGLMHWH

LVSXQMDYDXYMHWH]DXSLVXYUWLüDNRREDYLVLVWHPDWVNLSUHJOHGNRGOLMHþQLNDLNRGGRNWRUDGHQWDOQHPHGLFLQHWHDNRMHVXNODGQRþODQNX=DNRQDR]DãWLWLSXþDQVWYD
RG]DUD]QLKEROHVWLª1DURGQHQRYLQH©EULþODQNX3UDYLOQLNDRQDþLQXSURYRÿHQMDLPXQL]DFLMHVHURSURILODNVH
NHPRSURILODNVHSURWLY]DUD]QLKEROHVWLWHRRVREDPDNRMHVHSRGYUJDYDMXWRMREYH]Lª1DURGQHQRYLQH©EURMWHWRþNL,,,VWDYNX3URJUDPD]GUDYVWYHQH
]DãWLWHGMHFHKLJLMHQHLSUDYLOQHSUHKUDQHGMHFHXGMHþMLPYUWLüLPDXUHGQRUHGRYLWRFLMHSOMHQRSURWLYEROHVWLL]3URJUDPDREYH]QLKFLMHSOMHQMDVL]QLPNRPGMHFHNRMD
imaju kontraindikacije na pojedina cjepiva.

6RIWPHGUMHãHQMH]DRUGLQDFLMH3==‹9HJDVRIWGRRWHOZHEZZZYHJDVRIWKU