PhilHealth Annex A: Checklist of Eligibility Criteria for Physical Medicine and Rehabilitation
Fill PhilHealth Annex A: Checklist of Eligibility Criteria for Physical Medicine and Rehabilitation online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: Case No, Last Name, First Name, Suffix, Middle Name, PhilHealth ID Number, Same as patient, The patient must be at least 18 y/o and above at the time of, Currently Receiving Physical Medicine and Rehabilitation Services, Date of Assessment by a Physiatrist/Physical Medicine and, Continued Physical Medicine and Rehabilitation Services are, Mobility and Self-, Cognitive, Communication, Certified correct by.
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