TO APPLY AS OUR BENEFICIARY:
The immediate family of patient may visit our office for application. We are located at 99-101 Topaz Building, Kamias Road, Quezon City.

 

Please bring the following requirements:

  • Certificate of Indigency
  • Clinical Abstract
  • Treatment Protocol
  • Social Case Study Report
  • Photocopy of Guardian's ID
  • Photocopy of Patient's ID
  • Whole Body Picture (Patient)
  • Medical Assistance Application Form : click to download