How to fill out the PhilHealth PMRF: register, update, add dependents
The PhilHealth Member Registration Form (PMRF) is one form for two jobs: getting your PhilHealth number for the first time, and changing your record later. This page is for a first-time registrant, a member who changed name or civil status, and a member who wants to add a spouse, child or parent. At the end you will have a form you can print, sign and bring to PhilHealth.
PDFPhile fills the form for you. It does not send it anywhere: you submit it to PhilHealth yourself.
Registering or updating: tick one
The form's first box is the purpose: Registration or Updating/Amendment. PhilHealth's circular says the revised PMRF is used both to register new members and to update or amend the record of existing members (PhilHealth Circular 2020-0001).
- Registration: you have never had a PhilHealth number. Leave the PIN box empty. - Updating/Amendment: you already have a PIN. Write it at the top, then use Part V to say what is changing.
Your PIN is unique and permanent, and the form tells you to always use it in every transaction (PMRF, UHC v.1 January 2020). If you already have a PIN, do not register again. A second registration is how people end up with two records.
What to bring
Per the circular, a properly filled PMRF comes with at least one valid proof of identity for first-time registrants, and with documents proving the relationship between you and any dependent when you update (PhilHealth Circular 2020-0001). PhilHealth's service checklist for adding dependents lists (Member Management Group handbook):
Dependent · Photocopy to bring; Spouse · Marriage contract or certificate; Child · Birth certificate, or proof of adoption or guardianship; Parent · Your own birth certificate, plus any one of: the parent's birth certificate, a Senior Citizen ID from OSCA, or any valid ID showing the parent's date of birth
The same checklist asks for the original PMRF and a photocopy of at least one valid photo ID of the member, with the original shown. If someone else goes for you, bring a signed authorization letter and a valid photo ID of both of you (Circular 2020-0001, section V.D). Requirements can differ by office, so check with your PhilHealth office first.
Step by step
Open the PhilHealth PMRF and go through the parts in order. The form's own rules: write everything in UPPER CASE, write "N/A" where something does not apply, and every field is mandatory unless the form says "optional" (PMRF instructions).
Part I, Personal details. Write your name exactly as it appears on your birth certificate, in the order last name, first name, name extension (Jr., Sr., III), middle name. Tick "No middle name" or "Mononym" if that is you. Write your mother's full maiden name as on your birth certificate, and your spouse's full name if you are married. PhilSys ID and TIN are optional.
Part II, Address and contact. The mobile number is required. The e-mail address is required for OFWs.
Part III, Declaration of dependents. Only declare people who qualify. See the next section.
Part IV, Member type. Tick the box that best describes your membership now. See below.
Part V, Updating/Amendment. Only for updates. Tick what is changing (name, date of birth, sex, civil status, or address and contact details) and write the old value under FROM and the new one under TO.
Signature. Sign over your printed name and write the date. If you cannot write, use your right thumbmark.
Who counts as a dependent
The form says to declare the living spouse, children below 21 years old, and parents who are 60 or older and totally dependent on the member. Dependents with a disability are registered as principal members under RA 11228 (PMRF instructions, items 15 and 16). If you have more dependents than the rows allow, the form says to use an additional form.
The member type people get wrong
Part IV asks what you are today, not what you were when you first registered. The circular separates two groups (Circular 2020-0001, definitions):
- Direct contributors pay premiums: employees in the private sector or government, kasambahay and family drivers, self-earning individuals, professional practitioners, migrant workers (land-based or sea-based), Filipinos living abroad or with dual citizenship, and lifetime members. - Indirect contributors are subsidized: for example indigents, 4Ps/MCCT beneficiaries, senior citizens not otherwise covered, and persons with disability.
Pick the one that matches your situation today. If you left a job to freelance, you are no longer "Employed Private". Direct contributors other than employees, sea-based workers and lifetime members also write a profession, monthly income and proof of income. Kasambahay, family drivers and self-earning individuals can self-declare income on the PMRF (Circular 2020-0001, section V.C). The Self-Earning, Professional and Sole Proprietor boxes are easy to mix up, so read each label before you tick.
Mistakes that get a PMRF returned
- Ticking Registration when you already have a PIN. - Writing your name differently from your birth certificate (nicknames, or a married surname in Part I when you are only changing it in Part V). - Listing a child who is 21 or older, or a parent under 60. - Leaving a mandatory field empty instead of writing "N/A". - Forgetting the date next to your signature. - Bringing no document for the dependent you added.
Questions
Pwede ba akong mag-register ulit kung nawala ko ang PIN ko?
No. Your PIN is permanent, so ask your PhilHealth office to look it up instead. Registering again creates a duplicate record that the office then has to fix.
Paano idagdag ang asawa o anak bilang dependent?
Tick Updating/Amendment, write your PIN, list them in Part III, and bring the proof from the table above: the marriage certificate for a spouse or the birth certificate for a child.
Do I need a new PMRF every time I change jobs?
The PMRF is used for registration and for updating or amending your record, per PhilHealth's circular. If your member type changes, for example from employed to self-earning, update it so your record matches what you are now.
Can my kuya submit it for me?
Yes, with your signed authorization letter and a valid photo ID of both of you, per the circular. Check with your PhilHealth office before sending a representative.
Is the form free?
PhilHealth's service handbook lists registration as having no service fee (Member Management Group handbook).
Last checked 2026-10-12. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.