PhilHealth Annex “C – Prostate CA”
Fill PhilHealth Annex “C – Prostate 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, HEALTH CARE PROVIDER (HCP), ADDRESS OF HCP, 1. Last Name, First Name, Middle Name, Suffix, 2. PhilHealth ID Number, Same as patient, open radical prostatectomy, laparoscopic radical prostatectomy, Core needle biopsy or TURP specimen, Prostate specific antigen (PSA), Abdominal ultrasound, Bone scan.
Free to try: 5 forms a day without an account; a free account gets 14 days of clean PDFs, then 25 a month. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.