PhilHealth Annex C1.3: Colon Cancer Stage II (high risk) to III – After last cycle of Chemotherapy
Fill PhilHealth Annex C1.3: Colon Cancer Stage II (high risk) to III – After last cycle of Chemotherapy 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, Capecitabine-Oxaliplatin (CapeOX), Capecitabine, Fluorouracil-Folinic acid- Oxaliplatin (FOLFOX 4), Fluorouracil-Folinic acid- Oxaliplatin (mFOLFOX 6), Anti-emetics, specify, Antimicrobials, specify, Pain relievers, specify, Others, Blood support.
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