PhilHealth Annex A.4: Health Facilities Standards
Fill PhilHealth Annex A.4: Health Facilities Standards 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: Date of Survey, Time started, Time ended, 5.18 Urine drug test (Specify), Surveyor's Name, Names of Management Team, Remarks, Clean consultation and examination area, An enclosed room that respects the privacy of the patients, Alcohol hand rub, Adult Stethoscope, Pediatric Stethoscope.
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