ISSUANCE OF MEDICAL CERTIFICATE

CITY GOVERNMENT OF ILAGAN

SERVICES: Issuance of Medical Certificate

Office or Divisions: San Antonio City Ilagan Hospital
Classification: Simple
Type of Transaction: Government Citizens/Client
Who may avail: Citizens of Ilagan
CHECKLIST OF REQUIREMENT WHERE TO SECURE
In-Patient chart and OPD record form Health Information Management Deparment
CLIENT STEPS AGENCY ACTION FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE
Pay the fee to the cashier

Present official receipt

Signs at logbook

  1. Retrieves medical record from file.
  2. Seeks clearance from attending physician.
  3. Instruct rerquesting party to fee the fee to the cashier.
  4. Type’s certificate on the Medical Certificate Form in duplicate.
  5. Forward it to the attending physician and the other physician concerned for review and signature.
  6. Signs certificate and returns it to the Health Information Managment Deparment.
  7. Affixes seal of the hospital on the certificate.
  8. Attest/Signs certificate.
  9. And returns it to the Health Information Management Deparment.
  10. Presents official receipt to the Health Information Management Clerk.
  11. Records in the logbook, indicating the official receipt number and releases the certificate to the authorized party.
₱ 130.00

2-5 minutes

2 minutes

2-5 minutes

2 minutes

2-5 minutes

2 minutes

Jenny Ann T. Tolentino , Health Information management Officer

Aida I. Turqueza, Cashier staff on duty

Jenny Ann T. Tolentino , Health Information management Officer

Physician and Other Physician concerned

Authorized Party

TOTAL ₱ 130.00 12-21 minutes

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