PhilHealth Rheumatic Fever/ Rheumatic Heart Disease

Fill PhilHealth Rheumatic Fever/ Rheumatic Heart Disease 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: PATIENT’S NAME, DATE OF BIRTH, REGISTRY NO, REFERRING HOSPITAL , ADDRESS , ATTENDING CARDIOLOGIST , DATE OF APPROVAL, DATE REGISTERED, CATEGORY, RECOMMENDATION, NURSE ON DUTY , SOCIAL SERVICE CONSULTANT.

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