Medical Assistance

REQUIREMENTS

VALIDITY CONDITIONS

● Original Copy of the Medical Application Form (See Annex A), filled-out and signed by the Patient (if applicable) and his/her authorized representative

Dated and signed within three (3) months from date of application

● Original Copy of the Social Case Study Report or Certificate of Indigency/ Eligibility

Social Case Study Report should be issued by the Department of Social Welfare and Development (DSWD), Provincial Social Welfare and Development Office (PSWDO), City Social Welfare and Development Office (CSWDO), Municipal Social Welfare and Development Office (MSWDO) Social Worker or Medical Social Worker in the hospital, and addressed to the OVP, or generic addressee (e.g., addressed to “your good office”, no addressee)

Alternative: Certificate of Indigency/Eligibility issued by the PSWDO/CSWDO/ MSWDO where the client resides. Must state that the client is in need of medical assistance/wheelchair.

Dated and signed not more than three (3) months prior to the date of the application.

● Original/Certified Copy of Medical Records (e.g., Medical/Clinical Abstract, Medical Certificate)

● Dated not more than three (3) months prior to the date of the application

● Signed by the attending physician, with the license number indicated in the medical records

● Should indicate diagnosis, treatment plan, etc.

● Photocopy of one (1) valid Identification Card (ID) of:
a. Patient
    b. Authorized representative, if any

Important Reminder: To avail mandatory discounts, client MUST present the Original PWD/ Senior Citizen ID and Purchase Slip Booklet of the patient to the Service Provider upon claiming of assistance.

● Valid as of the date of the application

● Front and Back of the card must be photocopied

List of Valid IDs:
● Driver’s License
● Solo Parent ID
● NBI Clearance / ID
● TIN ID 
● Passport
● UMID/GSIS/SSS ID
● PhilHealth ID
● Voter’s Certification
● Police Clearance / ID
● 4Ps ID
● PRC ID
● Postal ID
● PWD ID
● Senior Citizen ID
● Barangay / LGU ID
● Philippine Identification System (National ID)

Alternative IDs for Minors:
● Registered Birth Certificate
● School ID (currently enrolled)
● Barangay ID
● Certification issued by the hospital in case of newborns

● Original Valid ID of Senior Citizen (SC) / Persons with Disability (PWD) ID of the patient and Purchase Booklet.

● To be presented at the time of claiming assistance in the Service Provider to avail of the mandatory SC/PWD discounts.