Back to Partnerships & Accreditation

Clinic Accreditation

Requirement Checklist

Download Requirements Checklist
  • 1

    Letter of Intent

  • 2

    Clinic Profile with Photos of the Facility

  • 3

    SEC Certificate (if applicable)

  • 4

    TIN / BIR Form 2303

  • 5

    Valid DOH License to Operate

  • 6

    PhilHealth Certification (if applicable)

  • 7

    Rates for Laboratory / Ancillary Procedures

  • 8

    ACU/APE Package Rate

  • 9

    Roster of Doctors

Accreditation Form

1

Clinic Details

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About the Clinic

Clinic Address Details

Additional Branches

Contact Person's Details