TO APPLY AS OUR BENEFICIARY:

The immediate family / guardian of the patient (ages 0-15 years old) may fill out this Application Form: https://forms.gle/FdHzpKy94d8UzhYdA

Before filling up the form, please make sure to have these complete documents to be uploaded on the Application Form:

  • 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)