Requirements for Philhealth to be accomplish by the member, if the Patient is the Member.
- 2 xerox copies of updated Members Data Records (MDR).
- 2 copies of Form 1 that should be accomplished and signed by the member and the authorized representative of the Company or Agency you are working.
- 2 copies of Certificate of Contribution appearing the 3 consecutive month's, amount paid and PBR Number or RF1 of the said Company or Agency appearing your name and contribution.
Requirements for Philhealth to be accomplish by the member, if the spouse of the member is the patient.
- 2 xerox copies of updated Members Data Records (MDR) appearing the name of the spouse at the dependent portion.
- 2 copies of Form 1 that should be accomplished and signed by the member and the authorized representative of the Company or Agency you are working.
- 2 copies of Certificate of Contribution appearing the 3 consecutive month's contribution, amount paid and PBR Number or RF1 of the said Company or Agency appearing your name and contribution.
- 2 xerox copies of Marriage Certificate of the patient with Registry Number.
Requirements for Philhealth to be accomplish by the member, if the child of the member is the patient.
(child must be 21 of age and below)
(child must be 21 of age and below)
- 2 xerox copies of updated Members Data Records (MDR) appearing the name of the child at the dependent portion.
- 2 copies of Form 1 that should be accomplished and signed by the member and the authorized representative of the Company or Agency you are working.
- 2 copies of Certificate of Contribution appearing the 3 consecutive month's contribution, amount paid and PBR Number or RF1 of the said Company or Agency appearing your name and contribution.
- 2 xerox copies of Birth Certificate of the patient with Registry Number.
Requirements for Philhealth to be accomplish by the member, if the parent of the member is the patient.
(parents must be 60 of age and above)
(parents must be 60 of age and above)
- 2 xerox copies of updated Members Data Records (MDR) appearing the name of the parent at the dependent portion.
- 2 copies of Form 1 that should be accomplished and signed by the member and the authorized representative of the Company or Agency you are working.
- 2 copies of Certificate of Contribution appearing the 3 consecutive month's contribution, amount paid and PBR Number or RF1 of the said Company or Agency appearing your name and contribution.
- 2 xerox copies of Birth Certificate of the Member with Registry Number.
- 2 xerox copies of Birth Certificate of the Patient with Registry Number.
- 2 xerox copies of the Senior Citizens Card "Office of the Senior Citizen Affairs" (OSCA), of the Patient.
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