PCSO MEDICAL ASSISTANCE REQUEST FOR HOSPITALIZATION REQUIREMENTS 1.Personal letter of request addressed to Director of PCSO 2. Original/Certified true copy and updated Clinical abstract signed by doctor with license and ptr# 3. Updated copy of statement of account/ hospital bill certified by the billing officer/ credit supervisor with printed name and signature(attach promissory note if discharged with bill balance) 4. Updated copy of endorsement letter from hospitals Social service for charity patients or from the credit and collection officer for pay patients 5. Official copy of police report if due to vehicular accident 6. Photocopy of valid id( patient and authorized representatives) REQUEST FOR DIALYSIS 1. Personal letter addressed to Director of Pcso 2.Original or certified true copy of and updated clinical abstract signed by doctor with license and ptr# 3. Updated copy of endorsement/ certificate of acceptance of Pcso guarantee letter from the hospital/ dialysis center 4. Official price quotation of dialysis 5.relevant laboratory results(ex. Pathology report) 5. Social case study report from lgu 6.photocopy of valid id( patient and authorized representatives) REQUEST FOR MEDICINES AND CHEMOTHERAPHY 1. Personal letter to director of pcso 2. Original/ certified true copy of and updated clinical abstract signed by doctor with license and ptr # 3. Original and updated prescription with printed name signature and license number of attending physician 4. Updated copy of treatment protocol( attach prognosis/ progress report for succeding request) 5. Official price quotation from pharmacy 6.original/ certified true copy of histopath/ biopsy report duly signed by pathologist with printed name license/ptr# 7. Social case study repory from lgu 8.photocopy of valid id(patient and representative) **kailangan po lahat ng kopya ay original **yung social case study po ay makukuha sa dswd pakipuntahan lng po si jose na staff ko po sa sb office at i assit po niya kayo **kailangan po original ang mga requirements o certified true copy at kumpleto para maiwasan po ang pagka delay ng processing **kapag kumpleto na po ang requirements ay i endorso po namin kayo sa pcso
Posted on: Sun, 10 Aug 2014 04:23:50 +0000
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