MANDALUYONG CITY MEDICAL CENTER

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Doctor’s Order Sheet

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient Informant submit Doctor’s Order Sheet to Admitting Personnel in-charge, fill-up Patient Information Sheet and wait to be called.

This service is

FREE of charge

Admitting Personnel on-duty

2. Patient Informant inform Admitting Personnel in-charge if patient is old or new for issuance

of Hospital Record No. (new patient) / updating of patient record (old patient.

3. Admitting Personnel in-charge interview patient informant

for verification

and encode to the computer for printing of patient record.

2 minutes

4. Admitting Personnel clarify hospital rules, policies and agreements and inform patient

informant for signing of consent for admission.

2 minutes

TOTAL

4 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Queuing no. and patient information

stub

2. Patient OPD card (for old patient)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get queuing no. and fill-up patient information stub and

wait for your number to be called.

This service is

FREE of charge

Guard-on-duty / OPD Clerk on duty

2. Present Patient OPD Card for fast retrieval of existing medical record (old patient) / Interview patient for triaging and issuance of registered Hospital Record No. (new patient) and wait for your turn to be called.

2 minutes

OPD Clerk on

duty

Upon informing to designated medical service:

3. Evaluate patient medical condition and inform the necessary diagnostic examinations

(if applicable) /

necessary

case dependent

Physicians on

duty

If patient is for Admission:

4. Advise patient to be admitted and proceed to Admitting section for interview.

case dependent

Physicians on

duty

TOTAL

2 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly Filled-Up Emergency Information Sheet (Patient/Informant)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Proceed to Emergency Physician on duty for triaging and monitoring of vital signs. Fill-up properly emergency information sheet for documentation.

This service is

FREE of charge

5 minutes

Emergency Physician- on-duty / Emergency

Nurse-on-duty

Upon designating to respective medical service:

2. Evaluate patient medical condition and inform the necessary diagnostic examinations (if applicable) and wait for the result.

Case dependent

Physicians on

duty

Upon the release of

diagnostic examinations:

3. Inform patient for his/ her medical conditions and interventions needed and advise patient for disposition. If patient is for admission, advise patient informant to proceed to Admitting section for interview.

5 minutes

Physicians on

duty

TOTAL

10 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly Filled-Up Physician Request Form

2. Receipt of Payment At The Cashier

Section

3. Indigency Form (From The Office of The Medical Director)

TYPE OF PROCEDURES (PREPARATION BEFORE EXAMINATION)

1. Whole Abdomen, Upper Abdomen

/ HBT / Gallbladder / Liver / FAST

(Fasting)

2. KUB / Pelvic / Prostate / Lower Abdomen (Full Bladder)

3. Chest with marking (Must have the latest X-ray Film)

4. TVS / BPS / Transabdominal / Pelvic (Empty Bladder)

5. Cranial (patient must be below 1 year old – must open the anterior fontanelles)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present properly filled up physician request to the Ultrasound Technician on duty for assessment

Price list is posted

in the hospital

1 minute

Emelinda Barnachea/ Efrena Raranga

2. Advise patient to pay at the Cashier section and to comeback for official receipt.

1 minute

3. Perform Ultrasound Examination and advise patient for official result:

•  Next day for walk-in

clients

•  Issuance of initial reading (emergency cases)

15 minutes

TOTAL

17 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

None

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Secure appointment at the secretariat and wait for your name to be called.

Oral Examination

FREE of Charge

Tooth Extraction

P80.00

Oral Prophylaxis P250.00

Tooth Restoration

P250.00

Gum Treatment

Free of Charge

Sealant, Flouride Therapy P250.00

1 minute

Emmarie Zaño

2. Evaluate patient condition and perform medical interventions

15 minutes (for tooth extraction) Case Dependent (other procedures)

Dr. Josephine

Ahillon Dr. Ronald Hernandez

3. Advise patient for medical treatment and disposition

1 minute

Dr. Josephine

Ahillon Dr. Ronald Hernandez

TOTAL

17 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly Filled-Up Physician Request- Form

2. Receipt of Payment at The Cashier

Section

3. Indigency Form (From The Office of the Medical Director)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present properly filled up physician request for assessment

Price list is posted

in the hospital

1 minute

Phlebotomist

on duty

2. Present properly filled up physician request for assessment

1 minute

3.  Submit specimen and/ or submit yourself for blood extraction.

•  Collection of specimen for OPD services until 10:00 AM

1 minute

MedTech on duty

4.  Advise patient to comeback for official result

•  OPD : 4:00 PM

•  Stat Patient : within 2 hours

TOTAL

3 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Claim form 1 (to be filled-up by the employer)

2. Member data record

3. Certificate of contribution

4. Philhealth id card, remittance

5. Birth certificate, marriage contract (with registration numbers)

6. Death certificate – for expired patient

7. Birth certificate of member

8. Receipt of medicines (for reimbursement)

9. Cert. True copy – discharge summary, x-ray results, laboratory results

10. Cert. True copy – anesthesia record, operation technique (for patient undergone surgical procedures)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1.  Present PHIC ID for PORTAL verification:

•  If Information verified: Advise claimant to sign PBEF Form and submit photocopy.

•  If Information not verified: Advise claimant to submit necessary documents for processing

This service is

FREE of charge

2 minutes

PHIC Personnel

2. Issue OK Slip for discharge upon completion of documents. Advise claimant to follow-up on the scheduled date for cheque releasing.

1 minute

Upon claiming of cheque:

3. Get claim stub at the PHIC-MCMC Office then proceed to

City Acctg Office for verification and City Treasurer’s Office and present claim stub for cheque releasing.

1 minute

MedTech on duty

TOTAL

4 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Parent/s voter’s id or certification and/ or PhilHealth office approval slip

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present required documents at the Department of Pediatrics Secretariat for assessment and collection of blood specimen.

This service is

FREE of charge

5 minutes

Resident Physician on duty

2. Upon collection of blood specimen, advise parent/s to comeback 1 month for official result. For ABNORMAL RESULT, parent/s will be notified early for recall and intervention

1 minute

TOTAL

6 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly filled-up physician request form

2. Receipt of payment at the cashier

section

3. Indigency form (from the office of the medical director)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present properly filled up physician request for assessment

P90.00

1 minute

ECG Tech on duty

2. Advise patient to pay the corresponding amount at the Cashier section and to comeback for official receipt.

1 minute

3. Start of ECG Examination

10 minutes

4. Advise patient to comeback for

schedule of official result together with the official receipt

1 minute

TOTAL

3 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly filled-up physician request form

2. Receipt of payment at the cashier

section

3. Indigency form (from the office of themedical director)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1.  Present properly filled up physician request for assessment

•  Informed patient preparation for special procedures a day prior to examination.

•  Signed patient for consent for special procedure.

Price list is posted

in the hospital

1 minute

Radiologic Technician on duty

2. Advise patient to pay the corresponding amount at the Cashier section and to comeback for official receipt.

1 minute

3. Start of X-RAY Procedure

2 minutes (Normal Procedure)

Case Dependent (Special Procedures)

4.  Advise patient to comeback for

schedule of official result together with the official receipt. Release of Official Result:

•  After 24 hours

•  Release X-ray Film for initial assessment at the Emergency Department

to be returned immediately for issuance of official result.

•  For MEDICO-LEGAL CASES: ONLY PATIENT is allowed to get the result

•  If patient is unable to get the official result, authorization letter from the patient together with photocopy of valid ID of patient and claimant.

1 minute

Radiologic Technician on duty

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Physician’s referral form

2. Receipt of payment at the cashier

section

3. Indigency form (from the Office of the Medical Director)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Enlist to the Physical Therapy Section secretariat and wait for your turn.

Consultation Fee: New Patient: P200.00

Old Patient: P50.00

Physical Therapy Session:

New Patient: P200.00

Old Patient: P50.00

Senior Citizen / PWD: P30.00

PT Secretary

2. Medical Evaluation and Therapy Program by the Physiatrist on duty

5 minutes

Physiatrist on

duty

3. Advise patient to secure payment at the Cashier section to comeback with official receipt to start the program

1 minute

PT Secretary

4. Start of Treatment Program

Case

Dependent

Physical Therapists on duty

TOTAL

3 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly filled-up physician request form

2. Receipt of payment at the cashier

section

3. Indigency form (from the Office of the Medical Director)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1.  Present properly filled up physician request for assessment

•  Informed patient preparation for special procedures a day prior to examination.

•  Signed patient for consent for special procedure.

FREE OF

CHARGE (for

E-Copy of results

- CD) SEE PRICE

LIST (for Special Procedures and Hard Copy)

1 minute

Radiologic Technician on duty

2. Advise patient informant to pay at the Cashier Section

1 minute

3. Start of CT-SCAN Procedure

Case

Dependent

4.  Advise patient to comeback for

schedule of official result.

a. Release of Official Result:

•  After 24 hours

•  Release CT- SCAN e-copy for initial assessment at the Emergency Department

•  For MEDICO- LEGAL CASES: ONLY PATIENT is allowed to get the result

•  If patient is unable to get the official result,

authorization letter from the patient together with photocopy of valid ID of patient and claimant.

1 minute

TOTAL

3 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Patient birth certificate

2. Valid id of parent/guardian

3. Barangay indigency certificate

4. Doctor’s latest prescription

5. Supporting documents: medical certificate / clinical abstract

* Patient must be at least 19 years of

age and below

SUPPORTED MEDICAL CASES

6. SEPSIS, DENGUE, RESPIRATORY DISEASE, KIDNEY FAILURE (limited to 5 dialysis ONLY)

7. Special Cases (for deliberation)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Fill-up application Form and Submit all required documents to the CMAF-MCMC Secretariat for assessment

This service is

FREE of charge

1 minute

MARISSA A. GUIMBAL, RN

2. Informant will be interviewed and recommend for medical assistance program at the Office of Coun. Charisse Marie Abalos for approval.

5 minutes

DR. ELIZABETH

A. CARPESO

3. Submit recommendation letter to the Office of Coun. Charisse Marie Abalos and to

comeback at MCMC Secretariat together with ENDORSEMENT LETTER

2 minutes

Office of Coun. Charisse Marie Abalos

TOTAL

3 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Charge Slip

2. Indigency Form (From The Office Of The Medical Director)

3. Assessment Slip (From The Medical Social Service Office)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present Charge Slip together with Assessment Slip or Indigency Slip (if

applicable) for billing.

Bill of Charge

1 minute

Cashier Clerk

on duty

2. Issue Official Receipt

1 minute

TOTAL

2 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Valid Id (For Claiming Of Medical Certificate)

2. Official Receipt Of Payment

3. Authorization Letter Together With Photocopy Of Id Of Representative

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient request Medical Certificate to the Attending Physician upon Check-up.

P20.00

Attending

Physician

2. Physician advise patient to get the Medical Certificate at the Medical Records Office.

2 minutes

Attending

Physician

3. Medical Records Personnel advise claimant to pay at the

2 minutes

MS. SHERRYL JOY FUENTES

4. Cashier Section and submit Official Receipt of Payment.

2 minutes

MS. SHERRYL JOY FUENTES

Upon releasing of

Medical Certificate:

•  Claimant is patient

– present receipt of

payment and valid ID

•  Claimant is representative – present authorization letter of patient and valid ID of patient and representative.

•  Claimant is police authority (medico- legal) – advise letter from the Chief of Police with photocopy of valid ID and valid ID of patient and receipt of payment.

Clerk on duty

TOTAL

2 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Valid Id (For Claiming Of Clinical

Abstract)

2. Letter Of Requisition For Clinical Abstract (Walk-In Clients)

3. Official Receipt Of Payment

4. Authorization Letter Together With Photocopy Of Id Of Representative

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. For Admitted: Patient request Clinical Abstract to the Nurse on duty.

Bill of Charge

Attending

Physician

2. For Walk-in: Patient submit letter of request for Clinical Abstract at Medical Records Office

Attending

Physician

3. Nurse on-duty / Medical Records Personnel advise patient to follow up on schedule date of release.

1 minute

Nurse on-duty (Admission) Medical Records Clerk (Walk-in)

4. Upon release: Nurse on-duty / Medical Records Personnel advise patient to pay the amount at the Cashier Section.

1 minute

Nurse on-duty (Admission) Medical Records Clerk (Walk-in)

Upon releasing of

Clinical Abstract:

•  Claimant is patient

– present receipt of

payment and valid ID

•  Claimant is representative – present authorization letter of patient and valid ID of patient and representative.

•  Claimant is police authority (medico- legal) – advise letter from the Chief of Police with photocopy of

valid ID and valid ID of patient and receipt of payment.

Clerk on duty

TOTAL

2 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly Filled-Up Birth Information

Sheet

2. Official Receipt Of Payment

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Fill-up Birth Information Sheet at the Medical Records Office.

•  BIRTH CERTIFICATE

P30.00

•MEDICAL CERTIFICATE P50.00

(for late

registration)

2. Advise informant to avail Birth Certificate at the Cashier Section

1 minute

MS. ANNA LIZA

R. FORBES

3. Submit Birth Certificate to the MRS Officer on duty for printing (DO NOT FILL-UP)

1 minute

MS. ANNA LIZA

R. FORBES

4. Sign the accomplished Birth Certificate and follow- up release at the Office of the Civil Registry – 2nd flr, City Administrative Bldg.

Office of the City Civil Registry

5. For LATE REGISTRATION: Attached Medical Certificate together with Birth Information Sheet for verification and encoding then submit to City

Civil Registry for registration.

2 minutes

MS. ANNA LIZA FORBES /

Office of the City Civil Registry

6. If Child is Illegitimate,

1 minute

MS. ANNA LIZA

R. FORBES

advise parents

to Notarized the

Birth Certificate

and return back to

Medical Records

Office and follow-up

release at the office

of the City Civil

Registry

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Copy of Hospital Bill (From The Billing

Section)

2. Ancillary Request Form with Charge

Slip

3. Barangay Certificate of Indigency

4. Valid Ids (Bring Any of the Following)

5. 4Ps ID

6. PWD ID

7. Senior Citizen ID

8. Court Order for Detainee / Inmate

9. Referral letter from the CSWD / SWD

National

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present copy of

This service is

MS. NORLYN

hospital bill / ancillary charge slip for assessment

FREE of charge

JEAN CAMPITA MS. GINA SAMONTEZA

MS. BENECIA

GUILLARTE

2. MSS Personnel

2 minutes

MS. NORLYN JEAN CAMPITA MS. GINA SAMONTEZA MS. BENECIA GUILLARTE

will conduct intake

interview, assess and

administer proper

discount based

on the patient’s

classification.

3. Advise patient /

1 minute

Office of the Medical Director Clerk

on duty

informant to proceed

to Office of the

Medical Director for

documentation and

approva then settle

bill at the Cashier

Section

TOTAL

3 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Barangay Certificate

2. Photocopy Of Voters Id Or Senior Citizen Id

3. Free Cataract Form

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Submit documents for assessment and evaluation.

This service is

FREE of charge

2 minutes

MS. MIGUELITA RAVINA

MS. CLARA

BADOCDOC

2. Advise patient to proceed to Office of the City Mayor together with Free

Cataract Form given for approval.

1 minute

Office of the City Mayor c/o Office of Executive Secretary

3. Proceed to the Office of the Medical Director for final assessment and submit approved documents to the Cataract / Cleft lIp Office for scheduling of operation.

1 minute

Office of the Medical Director Clerk

on duty

4. Advise patient to return on the schedule date of operation

1 minute

MS. MIGUELITA RAVINA

MS. CLARA

BADOCDOC

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Barangay Certificate

2. Photocopy of Voters Id or Senior Citizen ID

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Submit documents for assessment and evaluation.

This service is

FREE of charge

2 minutes

MS. MIGUELITA RAVINA

MS. CLARA

BADOCDOC

2. Refer patient to the Department of

Pediatrics for medical

clearance

Case

Dependent

DEPT. OF PEDIATRICS

3. Report to Cataract

/ Cleft Lip Office for approved clearance then proceed to the Philippine Band of Mercy for pick-up of medicines to be used in the operation.

Phil. Band of Mercy (Quezon City)

4. Submit all medicines to the Cataract / Cleft Lip Office and return on the schedule date of operation

1 minute

MS. MIGUELITA RAVINA

MS. CLARA BADOCDOC

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Properly Filled-Up Physician Request Form (Approved By The MCMC-MED Soc Svc. And Office Of The City Mayor)

2. Receipt Of Payment At The Cashier

Section

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Submit documents for assessment and evaluation.

2DED Procedure P1,400.00

2DED KIT

(purchase at the Pharmacy) P100.00

2 minutes

MS. JOCELYN LIQUIGAN

2. Advise patient to pay 2DED procedure at the Cashier Section and comeback on schedule date for procedure.

1 minute

MS. JOCELYN LIQUIGAN

3. On the schedule date of procedure: Present Official Receipt of payment and wait

for your name to be called.

MS. CHRYS ANN

CUNANAN

4. Start of 2DED Procedure

30 minutes

MS. CHRYS ANN

CUNANAN

5. Advise patient to comeback on the schedule date of releasing of result

1 minute

MS. CHRYS ANN

CUNANAN

6. Present Official Receipt of payment for releasing of result

1 minute

MS. JOCELYN LIQUIGAN

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Request Of Procedure

2. Quotation Of The Requested Procedure

3. Clinical Abstract / Medical Certificate

4. Personal Letter

5. Barangay Certificate Of Indigency

6. Valid Id’s (4p’s, PWD, Senior Citizen, Referral Letter From CSWD)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Inquire for required documents for medical assistance referral.

This service is

FREE of charge

1 minute

MS. MIGUELITA RAVINA

MS. CLARA

BADOCDOC

2. Upon completion of documents needed, submit it for evaluation, assessment and interview and

encoding of referral.

30 minutes

MS. NORLYN JEAN CAMPITA

3. Advise patient/relative to come back the next day to receive his/her referral letter and social case study report.

MS. NORLYN JEAN CAMPITA

4. Follow-up to the referring agency as need arises.

MS. NORLYN JEAN CAMPITA

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. Photocopy of Medicines Needed

2. Medical Diagnostic Procedure Request Form

3. Referral Form (Office of The City Mayor) For Indigency

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Submit documents needed for assessment and approval.

DISCOUNT RATES

ARE BASED ON PATIENT’S

ASSESSMENT

1 minute

Personnel Clerk

on duty

2. Issue Referral Slip and encode patient details in the

logbook.

1 minute

Personnel Clerk

on duty

FOR MEDICINE ASSISTANCE

3. Submit documents needed and returned on the time of releasing

1 minute

Personnel Clerk

on duty

Time of releasing of medicines: 11:00 AM,

2:00 PM & 7:00 PM

For OPD Patients: Must come back at 6:00 PM on the same day

Personnel Clerk

on duty

TOTAL

5 minutes

Office or Division:

Mandaluyong City Medical Center

Classification:

Simple

Type of Transaction:

Government to Citizen (G2C)

Who may avail:

All

CHECKLIST OF REQUIREMENTS

WHERE TO SECURE

1. FULLY ACCOMPLISHED DEATH INFORMATION SHEET (for Dead-on- Arrival)

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Nurse on duty interview informant on the details of the expired patient.

This service is

FREE of charge

2 minutes

Nurse on duty

2. Nurse on duty submit fully accomplished Death Certificate to the Medical Records Office for encoding.

1 minute

Nurse on duty / MS. TECLITA F. LARA

3. Upon encoding of Death Certificate, Medical Records Personnel inform Nurse on duty to get the Death Certificate for releasing.

1 minute

MS. TECLITA F. LARA

4. Nurse on duty verified the patient Informant before releasing the Death Certificate.

1 minute

Nurse on duty

TOTAL

5 minutes