PhilHealth Annex A 1: Preauthorization Checklist -Colon CA
Fill PhilHealth Annex A 1: Preauthorization Checklist -Colon CA 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, 1. Last Name, First Name, Suffix, Middle Name, 2. PhilHealth ID Number, Fulfilled selections criteria, If no, specify reason/s, Colon cancer stages I to III (clinically Tis-T4, N0-2, M0), cecum, ascending colon, hepatic flexure, transverse colon, splenic flexure, descending colon.
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