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Provision of Out-Patient Services
BRIEF DESCRIPTION Medical diagnosis and management of uncomplicated illnesses to walk-in and/or referred patients from nine(9) catchment barangays and other physicians and health care practitioners from government or private facility.
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Mondays to Thursdays 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE Clients/Patients seeking medical consultation at the City Health Office-1 from the 9 catchment barangays and other physicians and health care practitioners from government or private facility
WHAT ARE THE REQUIREMENTS 1. Government issued Identification 2. Referral form (if referred from other facility) 3. Medical records
FEES
If with lab CBC - P50.00 urinalysis - P20.00 Stool exam - P20.00 Hep B screening - P150.00 Platelet count - P15.00 DSSM – free Gene Xpert - free others as needed
FORMS 1. Service routing slip 2. Individual Treatment Record 3. Referral form 4. Laboratory Request slip 5. Charge slip 6. Medical certificate 7. Prescription 8. Laboratory request 9. Laboratory result
DURATION
Without lab. Ave 27 minutes
Plus with CBC - 1 hour urinalysis - 1 hour stool exam - 1 hour Hep B screening - 1 hour Platelet count - 1 hour DSSM - 4-8 hours Gene Xpert - 6-8 hours
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and interview walk-in and referred client 10 minutes Lucina Ramos Gladys Cruz Rosana Albor
Assess and diagnose clients
10 minutes(depends
on the case)
Genoveva Factoriza, RN Joanne Fondevilla, RN Anita Dionisio, RN(HPN patients) Oliver Paco Catherine Haynes, MD
4 Refer to Pharmacy/Specialist or specialty clinic or hospital for further management
2-5 minutes (Pharmacy)
Lorina Puzon, RPh Miragrace Alibudbud, RPh
Provision of Dental Services
BRIEF DESCRIPTION Provision of oral dental services to individuals with oral health problems
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE All individuals within the catchment area with oral health problems seeking consultation
WHAT ARE THE REQUIREMENTS 1. Government issued Identification 2. Referral form (if referred from other facility)
FEES CBC - P50.00 urinalysis - P20.00 Stool exam - P20.00 Hep B screening - P150.00 Platelet count - P15.00 DSSM – free Gene Xpert - free FBS - outside
FORMS 1. Service routing slip 2. Individual Treatment Record 3. Referral form 4. Client's chart 5. Medical certificate 6. Prescription
DURATION Average of 45 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and interview walk-in and referred client 10 minutes Lucina Ramos Gladys Cruz Rosana Albor
3 Receive client from registration 5 minutes Shirley Alinsod Jingle Jaupico
4 Assess and treat clients Ave. 20 minutes Randy Lijauco, DMD Carlo Filoteo, DMD
5 Refer to Pharmacy/OPD Nurse and/or physician or dentist of choice for further management
2-5 minutes (Pharmacy)
Lorina Puzon, RPh Miragrace Alibudbud, RPh
Provision of Birthing Center Services
BRIEF DESCRIPTION Provision of quality prenatal care, perinatal care, post-natal care, newborn care and newborn screening procedures to women of reproductive age and their newborn.
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Daily 24 hours
WHO MAY AVAIL OF THE SERVICE All women and their newborn seeking maternal care and newborn care respectively, within the catchment area
WHAT ARE THE REQUIREMENTS 1. Government issued Identification 2. Referral form (from other facility) 3. Medical records 4. Birth plan
FEES CBC - P50.00 urinalysis - P20.00 Hep B screening - P150.00 Others - as needed
FORMS 1. Service routing slip 2. Individual Treatment Record 3. Referral form 4. Prenatal record 5. Laboratory request slip 6. Laboratory result form 7. Additional forms if admitted
a. client's data sheet b. consent for admission and procedure form c. waiver for rooming-in and breastfeeding form d. vital signs monitoring form e. TPR sheet f. doctor's order sheet g. nurse/midwife progress notes h. Reminder form i. partograph j. newborn admission form k. vital signs monitoring form(NB) l. Classification of Newborn Form m. Maturity rating and classification form n. Doctor's order sheet (NB) o. Nurse/midwife's notes (NB) p. Certification form q. Discharge instruction sheet r. Request for newborn screening s. Clinical abstract t. medical certificate u. discharge summary
DURATION 1 hour and 7 minutes (excluding delivery)
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and interview walk-in and referred client 10 minutes Institutional Worker Midwife and/or Nurse on Duty
3 Assess, conduct prenatal check-up and diagnose the client 20 minutes Nurse and/or Midwife on duty
4 Conduct routine laboratory test ave 30 minutes( depends on lab
test)
Mariza Garing, RMT Marivic Batallones, RMT Marianne Regina Bautista, RMT
5 Refer client to Pharmacy/partner OB-Gyn, specialist and/or hospital of choice
2-5 minutes(Pharmac
y)
Lorina Puzon, RPh Miragrace Alibudbud, RPh
If admitted at the birthing center
6 Admit client in labor 10 minutes Nurse and/or Midwife on Duty
7 Discharge client 10 minutes Nurse and/or Midwife on Duty
Provision of Anti-Rabies Vaccine/Rabies Immunoglobulin
BRIEF DESCRIPTION Provision of anti-rabies vaccine/RIG to patients with animal bites
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Mondays to Thursdays 8:00AM - 12:00NN
WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients from the 9 catchment barangays under CHO-1
WHAT ARE THE REQUIREMENTS 1. Government issued identification 2. Referral form
FEES None
FORMS 1. Service routing slip 2. Individual Treatment Record 3. Rabies Post-Exposure Prophylaxis card 4. Referral form 5. DOH Form 6. Philhealth form (for members)
DURATION
New clients: ave 1 hour and 10 minutes Old Clients: Average 20 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and interview walk-in and referred client 10 minutes Lucina Ramos Gladys Cruz Rosana Albor
3 New clients: Undergo health education lecture with forum Old Clients: will proceed to No. 5
lecture: 30-45 minutes
Rina Sayao
4 History Taking, physical examination and categorization of bite 5 minutes
Catherine Haynes, MD Christine Buela, RN Madeleine Almodovar, RM
5 Administer anti-rabies vaccine/RIG 1-2 minutes Catherine Haynes, MD Chistine Buela, RN
6 Issue Rabies Post-exposure Prophylaxis(PEP) Card 1-2 minutes Christine Buela, RN Madeleine Almodovar, RM
Sexually Transmitted Infection (STI) Case Management
BRIEF DESCRIPTION Provision of social hygiene services including treatment to clients with signs and symptoms of STI and provision of counselling and testing to vulnerable population for HIV
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients with signs and symptoms of STI
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Service routing slip 3. Referral form
FEES HIV testing kit - none
FORMS 1. Service Treatment Record 2. Individual Treatment Record 3. Laboratory request slip 4. DOH forms for HIV 5. Laboratory results 6. Prescription 7. Medical certificate
DURATION
2 hours and 40 minutes ave (with counselling) *result with findings
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and interview walk-in and referred client 10 minutes Lucina Ramos Gladys Cruz Rosana Albor
3 Take pertinent history and physical examination 20 minutes Christine Buela, RN
4 Render HIV Counselling ave 1 hour Trained HIV Counsellors
5 Collect appropriate specimen 5 minutes
Mariza Garing, RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT
6 Interpret results, prescribed medication and Post-test counselling
2 minutes counselling - 1
hour
Trained HIV Counsellors Christine Buela, RN Catherine Haynes, MD Soledad Rosanna C. Cunanan, MD
Provision of Pulmonary Tuberculosis (PTB) Consultation and Treatment
BRIEF DESCRIPTION Early identification, diagnosis and proper treatment of Tuberculosis cases, both adults and children by directly-observed short-course strategy
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Wednesday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients with signs and symptoms of Tuberculosis
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form
FEES DSSM – none Gene Xpert – none CXR - outside service
FORMS 1. Service routing slip 2. Individual Treatment Record 3. NTP referral form 4. NTP Laboratory request and result form 5. NTP diagnosis form for children 6. TB Diagnostic Committee referral form 7. Provider’s Initiative Counselling and Testing (PICT) NEC form 8. Kasunduan para sa Tutok-Gamutan 9. TB/IPT treatment card 10. NTP Identification card 11. Philhealth forms (for members) 12. DOH registration form
DURATION Ave 1 hour and 10 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and interview walk-in and referred client 10 minutes Rosana Capuchino, RN Marilen Tangonan, RN Liezel Baraquiel, RM
3 Assess and diagnose client
20 minutes (excluding
waiting time for results)
Catherine Haynes, MD Rosana Capuchino, RN Marilen Tangonan, RN
4 Counsel clients ave 30 minutes PICT counsellors
5 Register clients 5 minutes Rosana Capuchino, RN Marilen Tangonan, RN
6 Refer/Treat clients
1-2 minutes (treatment
duration based on category of treatment)
Rosana Capuchino, RN Marilen Tangonan, RN
Provision of Laboratory Services
BRIEF DESCRIPTION Provision of quality laboratory services to help in the proper diagnosis and treatment of clients.
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients with laboratory request
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form 3. Laboratory request 4. MDR-indigent patients (Philhealth)
FEES CBC - P50.00 urinalysis - P15.00 stool exam - P15.00 Hepa B screening - P150.00 Platelet count - P15.00 CXR - outside service blood chem - outside service AFB smear – free Gene xpert - free RPR - free HIVT - free
FORMS 1. Service routing slip 2. Lab request slip 3. Charge slip 4. Lab. Request form
DURATION
CBC - ave. 30 minutes Urinalysis - 30 minutes Stool exam - 30 minutes Hep B screening - 30 minutes Platelet count - 30 min CXR - outside Blood chem - 24 hours AFB smear - 8 hours Gene Xpert - 8 hours RPR - 1 hour HIVT - 1 hour
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Identify and process routine laboratory procedures depends on lab request
Mariza Garing. RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT
3 Record the results 3 minutes
Mariza Garing. RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT
4 Release of results 2 minutes
Mariza Garing. RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT
Provision of Medicines
BRIEF DESCRIPTION Dispensing of basic medicines to CHO-1 clients with active prescription
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE CHO-1 patients with prescription
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Recent prescription
FEES No fees
FORMS Service routing slip
DURATION 9 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive the latest prescription 1 minute Lorina Aquino, RPh Miragrace Alibudbud, RPh
3 Check for availability and prepare prescribed medicines 5 minutes Lorina Aquino, RPh Miragrace Alibudbud, RPh
4 Record, dispense and instruct clients on proper medicine storage and intake 2 minutes
Lorina Aquino, RPh Miragrace Alibudbud, RPh
Provision of Family Planning (FP) Services
BRIEF DESCRIPTION Provision of family planning services to couples and women of reproductive age
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE Clients or couples of reproductive age from the 9 catchment barangays of CHO-1
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form
FEES No Fees
FORMS 1. Service routing slip 2. Individual treatment record 3. FP service record 4. Referral form
DURATION Ave 40 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Assess Family Planning unmet needs 5 minutes Annie Dionisio, RN Aracely Latayan, RM
3 Do family planning counselling 30 minutes Annie Dionisio, RN Aracely Latayan, RM
4 Provide Family Planning services depends on commodities
Annie Dionisio, RN Aracely Latayan, RM
5 Record data of client 1 minute Annie Dionisio, RN Aracely Latayan, RM
Provision of Pre-Marriage Counselling Service
BRIEF DESCRIPTION Health information lecture to couples applying for marriage license
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Tuesdays and Thursdays 8:00AM - 12:00NN
WHO MAY AVAIL OF THE SERVICE Couples applying for marriage certificate
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Service routing slip
FEES No fees
FORMS 1. Service routing slip
2. PMC certificate
DURATION 3 hours and 9 minutes (with lecture proper)
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Interview couples 5 minutes Annie Dionisio, RN Aracely Latayan, RM Honorata Zaide
3 Conduct orientation( lecture proper) 3 hours
Annie Dionisio, RN Aracely Latayan, RM Honorata Zaide other program coordinators
4 Issue pre-marriage certificate 2 minutes Annie Dionisio, RN Aracely Latayan, RM
Provision of Review and Issuance of Death Certificate
BRIEF DESCRIPTION Documenting, certifying, and confirming causes of deaths of individuals reported at the City Health Office 1
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE All deaths within the catchment area of CHO-1
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Death certificate form 3. Medical records/waiver for autopsy affidavit
FEES Burial fee - P100.00
FORMS 1. Service routing slip 2. Data information slip 3. Charge Slip
DURATION 10 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive request for review and issue death certificate 1 minute Myra Mesias, RM Evelyn Alvarez
3 Evaluate and prepare document 5 minutes
S. Rosanna Cunanan, MD Catherine Haynes, MD Myra Mesias, RM Evelyn Alvarez
4 Issue order of payment 1 minute Myra Mesias, RM Evelyn Alvarez
5 Release Death Certificate 1 minute Myra Mesias, RM Evelyn Alvarez
Issuance of Certificate of Transfer of Cadaver Bones/Ashes
BRIEF DESCRIPTION Permission procedure to transfer cadavers/bones to other city or municipality
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE All deaths within the catchment area requesting transfer of cadaver/ashes/bones
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Death certificate 3. Affidavit in case no Death
Certificate/Certification of no record form Registrar's Office or PSA
FEES Transfer permit fee - P100.00
FORMS 1. Service routing Slip 2. Transfer permit form 3. Charge Slip
DURATION 6 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and evaluate death certificate 1 minute Myra Mesias, RM
3 Issue charge slip 1 minute Myra Mesias, RM
4 Prepare, record and release Transfer Permit 2 minutes Myra Mesias, RM Rene Gomez
Issuance of Health Certificates for Food and Non-Food Handlers
BRIEF DESCRIPTION Issuance of health certificates employees and applicants in establishments operating within the catchment of CHO-1
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE Employees and applicants in establishments operating within the catchment of CHO-1
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Medical examination results 3. Laboratory results
FEES Health certificate fee - P50.00
FORMS 1. Service routing slip 2. Charge slip 3. Laboratory request slip 4. Laboratory result 5. Checklist of requirements 6. Health certificate 7. IRR pamphlet
DURATION 30 minutes
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Receive and evaluate requirements 1 minute
Bonifacio Sayao, ME Divina Epino, RM/Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya
3 Issue charge slip 1 minute
Bonifacio Sayao, ME Divina Epino, RM Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya
4 Prepare Health Certificate 5 minutes
Bonifacio Sayao, ME Divina Epino, RM Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya
5 Conduct Basic Food Seminar 20 minutes
Bonifacio Sayao, ME Divina Epino, RM Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya
6 Release of Health certificate 1 minute
Bonifacio Sayao, ME Divina Epino, RM Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya
Surveillance of Notifiable Diseases
BRIEF DESCRIPTION Early validation and confirmation of reportable diseases to prevent disease outbreak
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE All reported cases of notifiable diseases
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form 3. Medical records
FEES No Fees
FORMS 1. Service routing slip 2. Case investigative forms 3. Laboratory request slip 4. Referral form 5. Laboratory result
DURATION 11 minutes (excluding validation and confirmatory testing)
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2
Receive and validate referral cases from OPD, 11 Barangay Health Stations/barangay under CHO-1 catchment area and other health facilities
2 minutes (excluding validation)
Ma. Lourdes Policarpio, RN
3 Screen clients and collect specimen for testing 5 minutes
Mariza Garing, RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT
4 Submit specimen for confirmatory testing depends on type of test
Ma. Lourdes Policarpio, RN
5 Refer client to Pharmacy, specialist/specialty clinic and/or hospital
Pharmacy - 2 minutes
Lorina Aquino, RPh Miragrace Alibudbud, RPh Catherine Haynes, MD Soledad Rosanna Cunanan, MD
Provision of Ambulance Assistance
BRIEF DESCRIPTION Transport assistance to patients needing transfer to other hospital
DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I
SCHEDULE OF AVAILABILITY OF SERVICE
Monday – Friday 8:00AM - 5:00PM (No Noon Break)
WHO MAY AVAIL OF THE SERVICE All qualified patients needing ambulance assistance
WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form/Medical certificate
FEES No Fees
FORMS 1. Service routing slip 2. Kasunduan form 3. Trip ticket
DURATION 7 minutes (excluding transport time)
HOW TO AVAIL OF THE SERVICE
STEP PROCEDURE DURATION PERSON-IN CHARGE
1 Sort Clients from the triage (service routing slip issued) 1-2 minutes
Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre
2 Fill-up Kasunduan Form 5 minutes Maritoni Ambata
3 Approve Kasunduan Form and Trip Ticket 1 minute Soledad Rosanna Cunanan, MD Catherine Haynes, MD
4 Transport Client depends on distance
Arnel Cruz