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20 minutes to complete

Provider name (Fields with an asterisk * are required)
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Provider address (Fields with an asterisk * are required)
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Provider contact details (Fields with an asterisk * are required)
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Kindly submit a certified true copy of the list below
1. Clinic profile with location map
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
2. Laboratory Prices
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
3. List of physicians
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
4. DOH License
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
5. Sanitary permit
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
6. Waste disposal scheme permit
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
7. PhilHealth
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
8. License to operate
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
9. VAT Registration
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
10. Letter of intent
5.7 MB
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filename
Only JPEG, and PDF file formats with a maximum file size of 10MB
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