PhilHealth Annex H: Checklist of Essential Health Services for Kidney Transplantation
Fill PhilHealth Annex H: Checklist of Essential Health Services for Kidney Transplantation 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, Same as patient, Cardiology clearance for recipient, Cardiology clearance for donor (as needed), Transplantation surgery with living or deceased donor, Immunosuppression options, Interleukin-2-receptor antibody (basiliximab) 20 mg IV for two doses, Lymphocyte depleting agents, Type of Donor Nephrectomy, Type of Organ Preservation.
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