Pangkalahatang Checklist ng mga Dokumento

Gamitin ang interactive checklist na ito upang masiguro na kumpleto ang iyong mga dalang orihinal at photocopy bago lumuwas o pumila sa mga tanggapan ng pamahalaan.

Pangkalahatang Checklist ng mga Dokumento

I-tsek ang bawat dokumento habang inihahanda ito. Naka-save lamang ito sa iyong browser (localStorage).

Natapos: 0 sa 7 na dokumento0% Handa

Valid Government-Issued Photo ID (Patient & Representative)Kailangan (Mandatory)

Any unexpired government ID (PhilID/ePhilID, Driver’s License, Passport, UMID, Voter’s ID, Postal ID).

Orihinal: 1 | Photocopy: 2Pirma: Issuing Philippine Government AgencyBisa: 365 araw

Alternatibo: Barangay Certification with photograph and thumbmark for indigents lacking IDs.

Medical Certificate / Clinical AbstractKailangan (Mandatory)

Official clinical abstract or medical certificate with diagnosis and physician’s license details.

Orihinal: 1 | Photocopy: 2Pirma: Attending Physician with PRC License NumberBisa: 90 araw

Alternatibo: Hospital Discharge Summary if already discharged within 30 days.

Statement of Account (SOA) / Updated Hospital BillKailangan (Mandatory)

Latest itemized hospital statement showing net balance after PhilHealth deductions.

Orihinal: 1 | Photocopy: 2Pirma: Hospital Billing Officer / Credit and CollectionBisa: 14 araw

Alternatibo: Quotation / Cost Estimate signed by hospital cashier for scheduled surgery or procedures.

Barangay Certificate of IndigencyKailangan (Mandatory)

Certificate from the patient’s home barangay establishing financial incapacity.

Orihinal: 1 | Photocopy: 1Pirma: Punong Barangay or Authorized Barangay OfficerBisa: 180 araw

Alternatibo: Certificate of Eligibility from Local Social Welfare Office (CSWDO).

Official Medical Prescription (Doctor’s Rx)Opsyonal

Valid doctor’s prescription for medicines or chemotherapy drugs being requested.

Orihinal: 1 | Photocopy: 2Pirma: Attending Physician with PTR and S2 Number (if dangerous drugs)Bisa: 30 araw

Authorization Letter (if Representative is Applying)Opsyonal

Letter written and signed by the patient authorizing the representative to claim assistance.

Orihinal: 1 | Photocopy: 1Pirma: Patient signature or thumbmarkBisa: 30 araw

Social Case Study Report (SCSR)Opsyonal

Comprehensive socio-economic assessment conducted by a licensed Medical Social Worker.

Orihinal: 1 | Photocopy: 1Pirma: Registered Social Worker (RSW)Bisa: 180 araw

💡 Payo mula sa mga Medical Social Workers:Ugaliing magdala ng kahit dalawa (2) hanggang tatlong (3) karagdagang photocopy ng bawat dokumento (lalo na ang Valid IDs at Medical Certificate). Kung balak mong mag-apply sa higit sa isang ahensya (hal. Malasakit at PCSO), kailangan ng bawat ahensya ng sarili nilang kopya.