Animal Bite and Treatment Center

Animal Bite and Treatment Center (ABTC) is a rabies prevention and control
program unit. Provide Pre-Exposure and Post-Exposure Treatment to individuals
bitten by animals suspected of being rabid which will consist of the initial vaccine
and immunoglobulin dose. Animal Bite Treatment Center (ABTC) consultation is
every Monday-Friday 8am-4pm, while the ABTC immunization is every Tuesday and
Friday 8am-4pm.

Office or Division: Outpatient Department – Animal Bite Treatment Clinic

Classification: Simple
Type of G2C – Government to Citizen
Transaction:
Who may avail: All animal bite patients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
st
For 1 dose Old and New Patients:
Filled out:

Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1

and Health Declaration Form (1 Original) Outpatient Department 1, Table 1

For 2nd, 3rd and 4th dose patient

Animal Bite Treatment Card Nurse Coordinator
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
For 1st dose *Refer to OPD Consultatio For clients with Nurse
patient not yet Family Medicine n fee: existing records: Nursing Service
done for ABTC Citizen Charter Php 33 2 hours and 15
consultation: minutes
*Refer to OPD Hospital
Family Medicine Card: For clients with
Citizen Charter Php 22 no existing
records without
For 1st dose done assistance:
with the 2 hours and
consultation and 59 minutes
had procure the
medication For clients with
already: no existing
records with
assistance:
3 hours and
45 minutes

1
1.1 Secure None 15 minutes Nurse Attendant
Request Slip for 2
Out-Patient, Health Nursing Service
Declaration form
and priority number
at Table 1.

1.2 Fill up the

Request Slip for
Out Patient and
Health Declaration
Form Secure
priority number and
present it to Guard
on Duty.

1.3 Submit the

Request Slip for
Out-Patient, Health
Declaration form
and priority number
then proceed to
step 6.

For 2nd, 3rd and 4th

dose of ABTC 1.3 Receive Animal None 15 minutes Nurse Attendant
Bite Treatment Card 2
Submit the Animal and endorse it to Nursing Service
Bite Treatment OPD Registration
Card to table 1 and ABTC Nurse
then proceed to the coordinator
treatment area.
Step 6.
2.1 Listen to the 2.1 Instruct patient None 10 minutes Medical
instructions. to go to the OPD Specialist II/I
pharmacy for Medical Officer
medication IV/III
procurement Medical
Department
2.2 Endorse ITR to
Animal Bite Nurse
coordinator

None 10 minutes Nurse 2

2
For Category 3 Provide clearance Nursing Service
who can avail slip for PHIC. Then
PHIC: instruct patient to go
get clearance slip back to Pharmacy
from the animal-
bite nurse.
3.1 Proceed to 3.1 *Refer to OPD *Refer to 21 minutes Pharmacist 2
OPD Pharmacy Pharmacy Citizen OPD Paramedical
Charter. pricelist
3.2 Ask for
availability and
charge slip from
the Pharmacy.
4. For Payment of *Refer to Cashier *Refer to 14 minutes Supervising
medication Citizen Charter OPD Administrative
Pharmacy Officer
Price list Cashier

For PHIC *Refer to Claims None 14 minutes Administrative

availment: Citizen Charter Officer
Admin Service
Supervising

*Refer to Billing None 20 minutes Administrative

Citizen Charter Officer
Admin Service
Supervising

Social Welfare
For assistance to *Refer to MSS None 1 hour
Officer IV
the Medical Social Citizen Charter
Medical Social
Service (MSS) and
Work Office
receive OR/MSS
note/form, if unable
to pay.
5. Dispense 5.1 Inform the None 5 minutes Pharmacist 2
medications from animal-bite nurse Paramedical
the OPD regarding client’s
Pharmacy. procurement.

5.2 Dispense the

drug to the animal-
bite nurse.

3
 5.3 Direct patient to
the treatment area.
6. Proceed to 6.1 Register patient None 15 minutes Nurse 2
treatment area and to Rabies Exposure Nursing Service
wait for your name Registry Logbook.
to be called
11.2 Issue Animal
Bite Treatment Card
and instruct patient.
7. Submit self for 7. Administer None 30 minutes Nurse 2
vaccination vaccine Nursing Service

*For category 3 None 2 hours and Nurse 2

patient: 30 minutes Nursing Service
This will be done on
the 2nd dose for
immunoglobulin
dose
8. Receive Animal 8. Give Animal Bite None 5 minutes Nurse 2
Bite Treatment Treatment Card with Nursing Service
Card together with instruction
follow up
instruction.
TOTAL: New Patient New client with
w/o paid hospital
Hospital card and paid
Card: medicine:
Php 55 4 hours and
39 minutes
*Refer to
OPD New client with
Pharmacy paid hospital
for pricelist card with MSS
of the assistance in
medication medicine:
5 hours and
25 minutes

New client with

paid hospital
card with
process PHIC
for medicine:
5 hours and
9 minutes

4
 New client with
assistance in
hospital card
and paid
medicine:
5 hours and
25 minutes

New client with

MSS assistance
in both hospital
card and
medicine:
6 hours and
11 minutes

New client with

MSS assistance
in hospital card
with process
PHIC for
medicine:
5 hours and
55 minutes

Old client with

paid medicine:
3 hours and
55 minutes

Old client with

MSS assistance
in medicine:
4 hours and
41 minutes

Old client with

process PHIC
for medicine:
4 hours and
25 minutes

For 1st dose with

medicine
procure:
1 hour and

5
 5 minutes

For 2nd, 3rd and

4th dose:
1 hour and
5 minutes

*additional 2
hours and 30
mins for
Category 3
undergo
Immunoglobulin
dose

6
Antibody Testing Counselling

The Antibody Testing Counselling Service provides counseling and education to all
clients who require HIV screening, whether voluntarily, for employment, or as a
result of a referral. This service is offered Monday through Friday from 8:00 am to
4:00 pm, except on holidays.

Office or
Out-Patient Department
Division:
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients for HIV screening or counselling
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Laboratory request Physician/ Nurse
FEES TO BE PROCESSI PERSON
CLIENT STEPS AGENCY ACTIONS
PAID NG TIME RESPONSIBLE
1. Proceed to the 1. Direct the client to None 5 minutes Nursing Service
HACT/ “DAYON” the HACTclinic Nurse 2/1
Clinic Nurse Attendant 2
2. State purpose of 2.1 Verify referral/ None 5 minutes Medical
counselling/testing purpose for seeking Department
whether: counselling and Medical Specialist
testing II
a. Present
laboratory
Examination
Request OR
referral form (PICT
and linked to care)

b. For voluntary
counselling and
testing (VCT)
3. Submit self for 3.2 Facilitate filling None 10 minutes Medical
HIV 101 and pre- up of the forms and Department
test counselling educate client (HIV Medical Specialist
101/RA 8504) II

4. Fill-up HTS 3.3 Counsellor None 10 minutes Medical

FORM facilitate the filling up Department
of the HTS FORM Medical Specialist
II

7
 For employment and
pre-natal cases: give
instruction regarding
laboratory OPD

For special cases: 30 minutes

Instruct patient to
submit self for blood
extraction
5. For employment
and pre-natal
cases:

Proceed to *Refer OPD Fee: For Medical

Laboratory OPD Laboratory citizen Php 270 Laboratory Technologist
charter procedure Laboratory OPD
with
payment:
4 hours and
5 minutes

For
Laboratory
procedure
with MSS
assistance:
4 hours and
51 minutes
8. Post-test 8.Counselling and None 10 minutes Nurse VI
counselling then disposition Nursing Service
getting of test
result
TOTAL: For For
employment employment
and pre-natal and pre-
cases: natal cases
Php 270 with
payment:
For special 4 hours
cases: and 45
None minutes

8
 For
employment
and pre-
natal cases
with MSS
assistance:

5 hours
and 31
minutes

For special
cases:
1 hour

9
Chemotherapy Treatment
Treatment of disease by the use of chemical substances specially the treatment of
cancer by cytotoxic and other drugs. It targets cells that grow and divide quickly, as cancer
cells do. Chemotherapy Unit caters to patient-focused chemotherapy. This unit is open
Monday-Friday except weekends and holidays from 8am-4pm.

Office or Division: Oncology Unit

Classification: Simple
Type of G2C
Transaction:
Who may avail: Adult Medical, Gyne Oncology and Surgical Oncology Patients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
Laboratory Result (Original) Diagnostic Unit
For Referral Patients:
Referral Form, for referral patients
Referring Institution
(1 original copy)
Diagnostic Unit
Laboratory Result (Original)
For succeeding chemo patients:
Laboratory Result (Original) Diagnostic Unit
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.For Adult Medical *Refer to OPD IM For Old Nurse/Midwife
and surgical and Surgery Patient: For clients with Nursing Service
oncology cases: consultation citizen None existing
OPD surgery charter records:
consultation citizen For new 2 hours and 15
charter Patient: minutes
Consultati
on fee:
For Gyne Oncology *Refer to OPD Gyne Php 33 For clients with
cases: consultation citizen no existing
Refer to Gyne charter Hospital records
consultation citizen Card: without
charter Php 22 assistance:

2 hours and 59
minutes

10
 For clients with
no existing
records with
assistance:
3 hours and
45 minutes
For Succeeding
chemo patient:
Proceed to step 2
2. Proceed to 2.1 Receive the None 20 minutes Nurse 1
chemo unit for laboratory result Nursing Service
scheduling from the patient

2.2 Refer to the

physician

2.3 Instruct for the

schedule
3. Sign the consent 3.1 Secure consent None 10 minutes Nurse 1
procedure Nursing Service

3.2 Prepare
medicines and
materials
4.Submit self for 4. Start None 6 hours Nurse 1
treatment chemotherapy Nursing Service
5.1 While ongoing 5.1 While ongoing None
chemotherapy: chemotherapy:

Watcher starts the Give clearance slip

claims and billing for PHIC and
process instruction for billing
process

For PHIC process *Refer to Claims 14 minutes Administrative

Citizen Charter Officer
Admin Service
Supervising

Administrative

11
 *Refer to Billing 20 minutes Officer
Citizen Charter Admin Service
Supervising

For assistance to *Refer to MSS Medical Social

the Medical Social Citizen Charter 1 hour
Work Office
Service (MSS) and Social Welfare
receive OR/MSS Officer I
note/form incase if
excess in
Philhealth

5.2Present 5.2Verify Nurse 1

MSS/Clearance MSS/clearance form None 5 minutes
Nursing Service
note form
6.1 Submit self for 6.1 Terminate IVF None 15 minutes Nurse 1
IVF termination. Nursing Service
6.2 Monitor for any
post chemotherapy
adverse reactions

6.3 Update the

attending physician
7.1 Receive 7.1 Provide None 15 minutes Nurse 1
prescription, prescription, Nursing Service
diagnostic request diagnostic request
if applicable as deemed
necessary

7.2 Receive 7.2 Provide Health

instruction for teaching, instruction
health teaching, and schedule for
instruction and next next follow up
schedule and
follow up
Total: None For clients
without
existing
records pay
hospital card:
1 day 1 hour
and 59 mins

For clients
without

12
 existing
records with
MSS
assistance
hospital card:
1 day 2 hours
and 45
minutes

For clients with

existing
records:
1 day 1 hour
and 15
minutes

For
Succeeding
chemo patient:
7 hours

13
Electrocardiogram

The electrocardiogram services are given to outpatient clients to evaluate cardiac

function by measuring its electrical activity. It is available in the OPD 1 Building on
weekdays, except holidays, from 8:00 a.m. to 4:00 p.m.

Office or
Out-Patient Department
Division:
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients availing ECG
CHECKLIST OF REQUIREMENTS WHERE TO SECURE

ECG Request form Personal

FEES TO PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1. Give the ECG 1.1 Receive and None 10 minutes Nursing Service
request to the verify the ECG Nurse Attendant 2
attendant or to the request.
nurse on duty at
the OPD 1, Table 1.2 Issue charge
slip.

1.3 Give payment

instructions and
direct client to
the cashier.
2. For clients who *Refer to Cashier PHP 330 14 minutes Cashier
can pay, proceed Citizen Charter Supervising
to the Cashier. Administrative
Officer
*Refer to Cashier
Citizen Charter

2.1 For clients who *Refer to MSS None 1 hour Medical Social
cannot pay, Citizen Charter Work Office
proceed to the *Refer to Social Welfare
Medical Social Cashier/MSS Officer IV
Services (MSS). Citizen Charter

*Refer to MSS
Citizen Charter

14
3. Give the ECG 3.1 Receive the None 10 minutes Nursing Service
request and ECG request and Nurse 2/1
acknowledgment acknowledgement Nurse Attendant 2
receipt to the slip.
attendant or nurse
on duty.
3.2 Verify patient
3.2 Provide
identification, if
needed.
4. Wait in the 4.1Prepare the ECG None 5 minutes Nursing Service
waiting area. strips for official Nurse 2/1
reading. Nurse Attendant 2

If official reading is 4.2Give the ECG None 5 minutes Nursing Service

not required: tracing to the client. Nurse 2/1
Nurse Attendant 2
4.2 Receive the
ECG tracing/result. 4.3 Give the ECG None 1 hour Medical
tracing to the Department
If official reading is Internal Medicine. Medical Specialist
required: II/I
Medical Officer
IV/III

4.3 Wait for official 4.4 Release the None 5 minutes Nursing Service
reading. result. Nurse 2/1
Nurse Attendant 2
Total PHP 330 Clients not
requiring
official reading
None and MSS
assistance:
49 minutes

Clients not
requiring
official reading
but with MSS
assistance:
1 hour and 35
minutes

Clients
requiring

15
 official reading
without MSS
assistance:
1 hour and 49
minutes

Clients
requiring
official reading
and MSS
assistance:
2 hours and
35 minutes

16
Expanded Program On Immunization
This a program from the DOH for infants and children to immunize them and
reduce the mortality and morbidity against the common vaccine preventable disease.
The vaccines given are OPV, MMR, Penta 5in1 (Hep B, DPT and Hib), PCV 13 and
IPV. The immunization is scheduled every Wednesday of the month from 8am-12nn.

Office or Division: Out-Patient Department

Classification: Simple
Type of G2C
Transaction:
Who may avail: All Children 1 month to 3 years qualified for immunization
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For old patient or children with immunization card:
Immunization Card (Integrated Child Care Outpatient Department 1, Table 3
Center)
For new children without any immunization card yet:
Referral Form, for referral patients Outpatient Department 1, Table 1
(1 original copy)
Health Declaration Form (1 Original) Outpatient Department 1, Table 1
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.*Refer to OPD 1.*Refer to OPD
Pedia Consultation Pedia Consultation Consultati For clients
Citizen Charter Citizen Charter on fee: with existing
records:
Php 33
2 hours and
Hospital 15 minutes
Card:
Php 22 For clients
with no
existing
records
without
assistance:

2 hours and
59 minutes

For clients
with no
existing

17
 records with
assistance:

3 hours and

45 minutes

2.Proceed to 2. Receive None 10 minutes Nurse 2

treatment area and Immunization card Nursing Service
wait name to be from guardian and
called register patient to
Expanded Program
on Immunization
Logbook.
3. Submit self for 3. Administer None 5 minutes Nurse 2
vaccination Vaccine Nursing Service

4. Receive health 4.Give health None 5 minutes Nurse 2

teaching and follow teaching and Nursing Service
up instruction. instructions to the
guardian
Total: New For clients
Patient/ with existing
Old records:
Patient 2 hours and
w/o 15 minutes
Hospital
For clients
Card:
with no
Php 55
existing
records
without
assistance:

2 hours and
59 minutes

For clients
with no
existing
records with
assistance:
3 hours and
45 minutes

18
Family Planning Clinic
Family Planning Commodities are pills, condom or injectable (depo) made available to
clients to help them achieve birth spacing. This services is open from Monday-Friday
8am-4pm.

Office or Division: Out-Patient Department Family Planning Clinic

Classification: Simple
Type of G2C
Transaction:
Who may avail: All Reproductive Women
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
Health Declaration Form (1 Original) Outpatient Department 1, Table 1
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
*Refer to OB-Gyne * Refer to OB-Gyne Consultati For clients with Nurse Attendant 2
consultation citizen consultation citizen on fee: existing Nursing Service
charter charter Php 33 records:
2 hours and 15
Hospital minutes
Card:
Php 22
For clients with
no existing
records
without
assistance:
2 hours and 59
minutes

For clients with

no existing
records with
assistance:
3 hours and
45 minutes
2. Ask for family 2.1 Counsel client None 20 minutes Nurse/Midwife
planning and fill up Family Nursing Service
commodity. Planning Form.

19
3. Receive Family 3. Dispense family None 10 minutes Nurse/Midwife
planning planning commodity Nursing Service
commodity
4. Submit self for 4.Give post check- None 5 minutes Nurse/Midwife
post check-up up instruction Nursing Service
instructions
TOTAL: None For clients
with existing
records:
2 hours and
50 minutes

For clients
with no
existing
records
without
assistance:
3 hours and
34 minutes

For clients
with no
existing
records with
assistance:
4 hours and
20 minutes

20
Follow-Up Refill For Anti-Retroviral Medications

The HIV Treatment Hub facilitates dispensing anti-retroviral drugs to its

enrolled clientele. The hub operates from 8:00 am – 4 pm on Weekdays,
except holidays.

Office or
Out-Patient Department
Division:
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All HACT Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Health Regimen Booklet, 1 original copy HACT Clinic
FEES PROCESSI PERSON
CLIENT STEPS AGENCY
TO BE NG RESPONSIBLE
ACTIONS
PAID TIME
1. Proceed to 1.1 Check None 30 minutes Nursing Service
HACT Clinic and medication record. Nurse 2
submit Health Compare record in
Regimen Booklet. Health Regimen
Booklet and
Client’s chart

1.2 Provide ARV

Adherence and
Positive Prevention
Counselling

1.3 Fill up HIV

casereport
2. Receive and 2.1 Dispense None 5 minutes Nursing Service
check received ARV drug to Client. Nurse 2
ARV medicines
TOTAL NONE 35 MINUTES

21
HACT Consultation
The HACT unit facilitates consultation, treatment, care, and support for people with HIV enrolled in
its roster. The unit is open from 8:00 am to 4:00 pm on Weekdays, excluding holidays.
Office or Division: Out-Patient Department
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old Clients:
Health Regimen Booklet (1 original copy) HACT Clinic, Outpatient Department 1
For New Clients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
Hospital Card, (1 original copy) Outpatient Department 1, Table 3
For Referral Clients:
Referral form, referred clients, (1 original
Referring institution
copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1. For new and *Refer to OPD 1 Consultati For clients with *Refer to OPD 1
non-enrolled Citizen Charter on Fee: no existing Citizen Charter
clients. records but not
PHP 33 requiring MSS
*Refer to OPD 1 assistance:
Citizen Charter. Hospital 2 hours and
Card: 59 minutes

PHP 22 For clients with

no existing
records but
requiring MSS:
3 hours and
45 minutes

*Refer to OPD
1 Citizen
Charter

1.1 For enrolled 1.1 Verify Health None 20 minutes Nursing Service
clients, proceed Regimen Nurse 2
to HACT Clinic, Booklet.
submit Health
Regimen 1.2 Register client.

22
 Booklet and self 1.3 Retrieve client’s
for interview. chart.

1.4 Vital signs and

anthropometrics
data taking.

1.5 Initial
assessment for
triaging.

1.6 Instruct the client

to proceed to the
waiting area.

2 Wait in the 2.1 Call the client’s None 5 minutes Nursing Service
waiting area name. Nurse 2
until your name
is called.
3. Submit for 3.1 Interview and None 1 hour Medical
history taking and examine the client. Department
physical Medical Specialist
examination. II/I
Medical Officer
IV/III
3.2 Receive the 3.2 Explain the
treatment plans. treatment plans to
the client.
3.3 Receive
prescriptions and 3.3 Provide
diagnostics prescriptions and
requests, if diagnostics requests
applicable. as deemed
necessary.

3.4 Disposition
TOTAL: Consultati For clients with
on Fee: existing
records:
PHP 33 1 hour and 25
minutes
Hospital
Card: For clients with
no existing
PHP 22 records but not
requiring MSS:
4 hours and
24 minutes

23
 For clients with
no existing
records but
requiring MSS:
5 hours and
10 minutes

24
Hospice And Palliative Care Clinic
Geriatric Clinic
Wellness And Occupational Health
Acupuncture And Integrative Medicine Clinic

Hospice and Palliative Care Clinic is a specialist clinic that treats patients with serious,
complex, and frequently terminal illnesses with approaches focused on maximizing the patients'
quality of life and minimizing the amount of pain they experience. The hours of operation are 9:00
a.m. – 2:00 p.m., Wednesday and Thursday, except on holidays.
Geriatric Clinic focuses on the care of elderly clients with special needs. It is open from 9:00
am – 4:00pm, Monday and Tuesday, excluding holidays.
The Wellness and Occupational Health Center focuses on the primary prevention of hazards
in the workplace. It is also primarily in charge of the health of the institution's employees. It also
serves outside clients who come for work clearances, physical fitness, and medical clearances. The
center is open from 8 a.m. to 4 p.m. on Mondays through Fridays, excluding holidays.
The Acupuncture and Integrative Medicine Clinic provides promotive and curative medicine
by utilizing evidence-based traditional and integrative medicine principles and techniques. The hours
of operation are Monday through Friday, excluding Wednesdays and holidays, from 1:00 pm to 4:00
pm.

Office or
Out-Patient Department
Division:
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old Patients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
For New Patients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
Hospital Card, (1 original copy) Outpatient Department 1, Table 3
For Referral Requirements:
Referral Form, referred clients, (1 original
Referring Institution
copy)
Diagnostic/imaging result, if available
Diagnostic/Imaging Unit
(photocopies or originals)
Neuropsychological exam result OPD Neuropsych
For Follow-Up Check-up Requirements:
Diagnostic/imaging result, if available
Diagnostic/Imaging Unit
(photocopies or originals)

25
Tagubilin/Discharge instruction, if
Previous Hospital of Admission
available (1 original copy)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1. Secure 1.1 Issue queue None 10 minutes Nursing Service
Request Slip for number, Nurse Attendant 2
Out-Patient, Request Slip
Health for Out-Patient
Declaration form and Health
and priority Declaration
number at Table Form
1

1.2 Fill up the

Request Slip for
Out Patient and
Health
Declaration Form
Secure priority
number and
present it to Table
1

1.3 Wait for your

number to be
called
2.Proceed to 2.1 Call out Patient’s None 20 minutes Nursing Service
Table 2/Triage number or name Nurse Attendant 2
area for triaging
2.2 Assess patient if
2.1 Submit the Emergent or
Request Slip for
Out Patient and non-Emergent case
Health
Declaration, Form
2.3 Take patient’s
vital signs, height,
weight

2.4 Instruct patient to

wait at the waiting
area to be called in
the assigned table.

2.4.1For clients with

flu-like symptoms,
instruct them to

26
 proceed to the Flu
Lane area.
3. For Wellness *Refer to OPD None *Refer to OPD Wellness and
and Occupational Registration Citizen’s Registration Occupational
Health, Hospice Charter Citizen’s Health Clinic
and Palliative Charter Clerk
Care, Geriatric
Care and
Acupuncture and
Integrative
Medicine,
proceed to
Wellness and
Occupational
Health Clinic, 2nd
floor, near
Outpatient
Department 1

3.2 Receive For clients with

instructions for no existing
payment of records:
Hospital card for
new client. 35 minutes

3.3 Proceed to
Step 7 for old For clients with
client. existing
records:
15 minutes
4. Pay the *Refer to Cashier Consultat 14 minutes Cashier
necessary fees citizen Charter ion fee: Supervising
and receive the Php 33 *Refer to Administrative
transaction Cashier Officer
receipts at the Hospital Citizen Charter
Cashier Card:
Php 22
Refer to Cashier
Citizen Charter
5. Apply for *Refer to MSS Consultat 1 hour Medical Social
assistance to the Citizen Charter ion and Work Office
Medical Social Hospital *Refer to MSS Social Welfare
Service (MSS) card Fee: Citizen Charter Officer IV
and receive None
OR/MSS
note/form, if
unable to pay

*Refer to MSS
Citizen Charter
27
6. Present 6.1 Receive OR/ None 10 minutes Wellness and
OR/MSS MSS note/form. Occupational
note/form. Health Clinic
6.2 Give hospital Clerk
card

6.3 Print/Retrieve
client’s Individual
Treatment Record
(ITR).
7. Wait in the 7.1 Call the client’s None 10 minutes Wellness and
waiting area until name and/or number. Occupational
your name and/or Health Clinic
number is called. Clerk

7.2 Proceed to 7.2 Direct the client

the appropriate to the appropriate
table once called. table.
7.2.1 For
Acupuncture and
Integrative
Medicine proceed
to Outpatient
Department 2, 2nd
floor
8.1 Submit for 8.1 Interview and None 1 hour Medical
history taking and examine the client. Department
physical Medical Specialist
examination. 8.2 Explain the 2/Medical Officer
treatment plans to IV/III
8.2 Receive the the client.
treatment plans.
8.3.Give and explain
8.2.1Sign consent consent form for
form for procedures, if
procedures, if needed
needed
8.4 Provide
8.3 Receive prescriptions and
prescriptions and diagnostics requests
diagnostics as deemed
requests, if necessary.
applicable.
8.5 For client
8.4 For client requiring
requiring neuropsychological
neuropsychologic exam, direct to OPD
al exam, refer to Neuropsyche.
OPD
Neuropsyche. 8.6 Disposition
28
*Refer to OPD
Neuropsyche
Citizen Charter
9. Pay the *Refer to Cashier Acupunct 14 minutes Supervising
necessary fees Citizen Charter ure Fee: Administrative
and receive the *Refer to Officer
transaction PHP 200 Cashier Cashier
receipts at the Citizen Charter
Cashier, if able to Acupunct
ure with
pay
Laser
* Clients with
Therapy:
Acupuncture
procedures PHP 500

*Refer to Cashier
Citizen Charter
10. Apply for *Refer to MSS Acupunct 1 hour Social Welfare
assistance to the Citizen Charter ure Fee: Officer IV
Medical Social None Medical Social
Service (MSS) Work Office
and receive
OR/MSS
note/form, if
unable to pay

*Refer to MSS *Refer to MSS

Citizen Charter Citizen Charter
Consultat Wellness and
ion fee: Occupational
TOTAL: Php 33 Health,
Hospice and
Hospital Palliative
Card: Care Clinic,
Php 22 Geriatric
Clinic
For clients with
existing
Acupunct records:
ure Fee: 1 hour and
55 minutes
PHP 200
For clients with
no existing
Acupunct records but not
ure with requiring MSS:

29
 Laser 2 hours and
Therapy: 39 minutes

PHP 500 For clients with

no existing
records but
requiring MSS:
3 hours and
25 minutes

Acupuncture
and
Integrative
Medicine
Clinic
For clients with
existing
records:
2 hours and
43 minutes

For clients with

existing
records but
requiring MSS:
3 hours and
29 minutes

For clients with

no existing
records but not
requiring MSS:
3 hours and 3
minutes

For clients with

no existing
records but
requiring MSS:
4 hours and
35 minutes

30
10. Intrauterine Device and Implanon Insertion and Removal
Interval IUD and Implanon is done for non-postpartum reproductive women who wish to
achieve birth spacing. These services are available every Tuesday and Thursday 8am-4pm at
OPD 2 building.

Office or Division: Out-Patient Department Family Planning Clinic

Classification: Simple
Type of G2C
Transaction:
Who may avail: All Reproductive Women
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
*Refer to OB-Gyne * Refer to OB-Gyne Consultati For clients with Nurse Attendant 2
consultation citizen consultation citizen on fee: existing Nursing Service
charter charter Php 33 records:
2 hours and 15
Hospital minutes
Card:
For clients with
Php 22
no existing
records
without
assistance:

2 hours and 59
minutes

For clients with

no existing
records with
assistance:
3 hours and
45 minutes

2.1 Declare intent 2.1 Counsel client None 15 minutes Nurse/Midwife

for interval IUD and fill up Family Nursing Service
insertion or Planning Form
removal

31
 2.2 Secure consent IUD
for the procedure Insrtion
charge:
2.3 Give charge slip, Php 500
clearance slip and
instruct client to
proceed to the
claims section
3. Proceed to PHIC *Refer to Claims None 14 minutes Administrative
section for Citizen Charter Officer
philhealth patien. Admin Service
Supervising

*Refer to Billing None 20 minutes Administrative

Citizen Charter Officer
Admin Service
Supervising

Proceed Cashier *Refer to Cashier IUD 14 minutes Supervising

for non-philhealth Citizen Charter Insrtion Administrative
charge: Officer
Php 500 Cashier

None Medical Social

For assistance to *Refer to MSS 1 hour
Work Office
the Medical Social Citizen Charter
Social Welfare
Service (MSS)
Officer IV
4.1 Go back to 4.1 Receive None 30 minutes Doctor
OPD 2 OR/MSS/Clearance Medical
slip Department/
Midwife
4.2 Submit self for 4.2 Prepare Nursing Services
intrauterine device materials needed
insertion or
removal 4.3 Insert/Remove
IUD
5. Submit self for 5. Give post check- None 5 minutes Doctor
post check-up up instruction and Medical
instructions follow-up Department/
Midwife
Nursing Services
TOTAL: Consultati For clients with
on fee: existing
Php 33 records and
pay procedure:

32
Hospital 3 hours and
Card: 19 mins
Php 22
For clients with
existing
IUD records with
Insrtion PHIC process:
charge: 3 hours and
Php 500 39 mins

For clients with

existing
records and
MSS
assistance:
4 hours and
5 minutes

For clients with

no existing
records pay
hospital card
and procedure:
4 hours and
3 minutes

For clients with

no existing
records with
pay hospital
card and PHIC
process
procedure:
4 hours and
23 minutes

For clients with

no existing
records pay
hospital card
and with MSS
assistance in
procedure:
4 hours and
49 minutes

33
 For clients with
no existing
records with
MSS
assistance in
hospital card
and pay
procedure:
4 hours and
49 minutes

For clients with

no existing
records with
MSS
assistance in
hospital card
and PHIC
procedure:
5 hours and
9 minutes

For clients with

no existing
records with
MSS
assistance in
hospital card
and procedure:
5 hours and
9 minutes

34
Neuropsychiatric Services

The Neuropsychiatric provides neuropsychological assessment services to adults for

employment. The service is available on Weekdays, excluding holidays from 8:00 am to 12 pm.

Office or
Out-Patient Department
Division:
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old Patients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
For New Patients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
Hospital Card, (1 original copy) Outpatient Department 1, Table 3
For Referral Requirements:
Referral Form, referred clients, (1 original
Referring Institution
copy)
Diagnostic/imaging result, if available
Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-Up Check-up Requirements:
Diagnostic/imaging result, if available
Diagnostic/Imaging Unit
(photocopies or originals)
Drug Test results Diagnostic Unit
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1. Secure 1.1 Issue queue None 10 minutes Nursing Service
Request Slip for number, Nurse Attendant 2
Out-Patient, Request Slip
Health for Out-Patient
Declaration form and Health
and priority Declaration
number at Table Form
1

1.2 Fill up the

Request Slip for
Out Patient and
Health
Declaration Form
Secure priority
number and
35
present it to Table
1

1.3 Wait for your

number to be
called.
2.1 Proceed to *Refer to OPD None For clients with Wellness and
Wellness and Registration Citizen’s no existing Occupational
Occupational Charter records: Health Clinic
Health Clinic, 2nd Clerk
35 minutes
floor, near 2.1 Give charge slip
Outpatient for neuropsyche and For clients with
Department 1
direct to cashier. existing
records:
2.2 For new
clients, get 15 minutes
charge slip and
receive
instructions for
payment including
hospital card, and
proceed to
Cashier.

2.3 Get charge

slip, and proceed
to Cashier.
3. Pay the *Refer to Cashier Consultat 14 minutes Cashier
necessary fees citizen Charter ion fee: Supervising
and receive the Php 33 *Refer to Administrative
transaction Cashier Officer
receipts from the Hospital Citizen Charter
Cashier. Card:
Php 22
Refer to Cashier
Citizen Charter Neuro:
PHP 250
4. Apply for *Refer to MSS Consultat 1 hour Medical Social
assistance to the Citizen Charter ion and Work Office
Medical Social Hospital *Refer to MSS Social Welfare
Service (MSS) card Fee: Citizen Charter Officer IV
and receive None
OR/MSS
note/form, if
unable to pay

*Refer to MSS
Citizen Charter

36
5. Present 6.1 Receive OR/ None 10 minutes Wellness and
OR/MSS MSS note/form. Occupational
note/form. Health Clinic
6.2 Give hospital Clerk
card

6.3 Print/Retrieve
client’s Individual
Treatment Record
(ITR).
6. Wait in the 6.1 Forward ITR to None 20 minutes Wellness and
waiting area until OPD 1 Neuropsyche. Occupational
your name and/or Health Clinic
number is called. Clerk

6.2 Proceed to 6.2Call the client’s None 10 minutes Nursing Service

the appropriate name and/or number. Nursing Attendant
table once called. 2
6.2 Direct the client
to the appropriate
table.
7. Submit for 7.1 Interview and None 1 hour Medical
neuropsyche examine the client. Department
evaluation. Medical Specialist
2/Medical Officer
IV/III
8. Proceed to the 8.1 Get Neuropsyche None 1 hour Wellness and
Wellness waiting ITR from OPD 1. Occupational
area and wait for Health Clinic
named to be 8.2 Encode the Clerk
called. results, have it
signed by the
8.3 Receive the Psychiatrist, and
results. sealed by the
medical records.

8.3 Release the

results.

TOTAL: Consultat For clients with

ion fee: existing
Php 33 records:
3 hours and
Hospital 19 minutes
Card:
Php 22
For clients with
no existing
Neuropsy
che: records but
requiring MSS:
37
PHP 250 4 hours and
5 minutes

For clients with

no existing
records but not
requiring MSS:
4 hours and
3 minutes

For clients with

no existing
records but
requiring MSS:
5 hours and
35 minutes

38
OUT-PATIENT DEPARTMENT CONSULTATION
FAMILY MEDICINE, INTERNAL MEDICINE AND SURGERY

The Out-Patient Department is available Monday to Friday excluding Holiday from

8:00am to 4:00pm. It caters non-emergent cases for Medical, Surgical and Mental Health
cases for patient

Family Medicine Monday-Friday 8am-4pm Consultation

Internal Medicine Monday-Friday 8am-4pm Consultation

Schedule of Sub-Specialty
Clinic:

• Cardiology Wednesday 3pm Consultation

• Cardio-Pulmonary Thursday and Friday 10am-2pm Consultation
Clearance
• Diabetes Clinic Wednesday (2nd& 4th) 9am-11am Consultation
• Endocrinology Wednesday (1st & 3rd) 9am-11am Consultation
• Infectious Disease Tuesday (2nd & 4th) 1pm-4pm Consultation
• Nephrology Wednesday (2nd & 4th) 1pm-3pm Consultation
&
Friday (1st & 3rd) 1pm-3pm Consultation
• Neurology Wednesday 10am-12nn Consultation
Thursday 10am-12nn Consultation
• Pulmonology
Tuesday &Friday 1pm-4pm Consultation/Procedure
• Rheumatology
General Surgery Monday-Friday 8am-4pm Consultation

Schedule of Sub-Specialty
Clinic:

• Surgical Oncology Wednesday 12nn-2pm Consultation/Procedure

• Urology Wednesday 11am-2pm Consultation
Mental Health Monday-Friday 8am-12nn Consultation

Office or Division: Out-Patient Department

Classification: Simple
Type of G2C
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
39
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
For Referral Patients:
Referral Form, for referral patients
Referring Institution
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-up check up
Tagubilin/Discharge instruction, if available Previous Hospital of admission
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.1 Secure 1.1 Issue Request None 10 minutes Nurse Attendant 2
Request Slip for Slip for Out Patient, Nursing Service
Out-Patient, Health Health Declaration
Declaration form Form and queue
and priority number number
at Table 1

1.2 Fill up the

Request Slip for
Out Patient and
Health Declaration
Form Secure
priority number and
present it to Guard
on Duty

1.3 Wait for your

number to be
called.
2.1 Proceed to the 2.1 Call out Patient’s None 20 minutes Nurse Attendant 2
Table 2, Triage number or name Nursing Service
area for triaging.
2.2 Assess patient if
2.2 Submit the Emergent or
Request Slip for non-Emergent case
Out Patient and
Health Declaration, 2.3 Take patient’s
Form Secure vital signs, height,
priority number weight

40
 2.4 Instruct patient
to wait at the waiting
area to be called in
the assigned table.

For clients with flu-

like symptoms,
instruct them to
For old patient: proceed to the Flu
Proceed to Step 7 Lane area.
3. Proceed to the 3.1 Refer to OPD None For clients with Nursing Attendant
waiting area and Registration existing 2
wait for your name Citizen’s Charter records: Medical Records
to be called, then 15 minutes
proceed to Table 3
for registration.
For clients with
no existing
records:
35 minutes

3.2 Receive 3.2 Give payment

instructions for instructions
payment of
Hospital card for
new client..
4. Pay the *Refer to Cashier Consultati 14 minutes Supervising
necessary fees and Citizen Charter on fee: Administrative
receive the Php 33 Officer
transaction receipts Cashier
at the Cashier Hospital
Card: *Refer to
*Refer to Cashier Php 22 Cashier
Citizen Charter Citizen Charter
5. Apply for *Refer to MSS Consultati 1 hour Social Welfare
assistance to the Citizen Charter on and Officer IV
Medical Social Hospital Medical Social
Service (MSS) and card Fee: Work Office
receive OR/MSS None
note/form, if unable
to pay

*Refer to MSS *Refer to MSS

Citizen Charter Citizen Charter
6. Present 6.1 Receive OR/ None 10 minutes Nurse Attendant 2
OR/MSS note/form. MSS note/form.

41
 Medical Records
6.2 Give hospital Office
Card

6.3 Print/Retrieve
client’s Individual
Treatment Record
(ITR).
7. Proceed to the 7. Instruct patient to None 20 minutes Nurse 2
waiting area until wait at the waiting Nursing Service
your name will be area until name will
call. be called
8.1 Once name is 8.1 Call patient’s None 10 minutes Nurse 2
called, submit self name accordingly Nursing Service
for consultation/
treatment. 8.2 Take patient
history, Examine
8.2 Undertake patient, Discuss
interview and Treatment plan, None 1 hour Doctor
receive treatment Schedule follow up Medical
plan and check-up/ Department
instruction. Disposition.
Total: Consultati For clients
on fee: with existing
Php 33 records:
2 hours and
Hospital 15 minutes
Card:
For clients
Php 22
with no
existing
records
without
assistance:
2 hours and
59 minutes
For clients
with no
existing
records with
assistance:
3 hours and
45 minutes

42
OB-GYNE and PEDIATRICS

The OB-Gyne and Pedia Out-Patient Department is available every Monday to Friday
excluding Holidays from 8:00am to 4:00pm. It caters non-emergent cases.

Obstetrics Monday, 8am-4pm Prenatal Services:

Wednesday,
Friday • High Risk Pregnancy Care
• Pre natal Check up
• Pre Pregnancy Counselling

Gynecology Tuesday 8am-4pm Gynecology Services:

Thursday
• Family Planning Counselling:
IUD insertion and removal
Implanon insertion and removal
• Pelvic Tumor Consultation:
Myoma
Vaginal/Vulvar Tumors
Ovarian Tumor/Cyst
• Cervical Cancer Screening
Pap Smear
Visual Inspection with Acetic Acid (VIA)
• Women & Child Protection Unit
• Menopause Clinic
Pediatrics Monday-Friday 8am-4pm General Pediatric Consult
Tuesday 1pm-4pm Nephrology Clinic
Wednesday 8am-4pm • Pediatric risk assessment (Pediatric
Clearance)
8am-12nn • Well-baby Clinic
• Immunization
12pm- • KMC (kangaroo Mother Care)
4pm • High Risk Neonate
• NICU follow up
Thursday 1pm-4pm • Pulmonology Clinic (Asthma and TB)
Friday 1pm-4pm • Follow up of service discharge

Office or Division: Out-Patient Department OB-Gyne and Pediatrics

Classification: Simple
Type of G2C
Transaction:
Who may avail: All pediatric client ages 0 to 18 years old, All Reproductive, menopausal,
and post-menopausal client.
43
 CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
For Referral Patients:
Referral Form, for referral patients
Referring Institution
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-up check up
Tagubilin/Discharge instruction, if available Previous Hospital of admission
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.1 Secure 1.1 Issue Request None 10 minutes Nurse Attendant 2
Request Slip for Slip for Out Patient, Nursing Service
Out-Patient, Health Health Declaration
Declaration form Form and queue
and priority number number
at Table 1

1.2 Fill up the 1.2 Instruct patient

Request Slip for to proceed at OPD 2
Out Patient and building 2nd floor
Health Declaration
Form Secure
priority number and
present it to Guard
on Duty
2.1 Proceed to the 2.1 Assess patient if None 20 minutes Nurse Attendant 2
OPD 2 building 2nd Emergent or Nursing Service
floor Table A non-Emergent case

2.2 Submit the 2.2 Take patient’s

Request Slip for vital signs, height,
Out Patient and weight
Health Declaration,
Form and priority 2.3 Instruct patient
number to wait at the waiting
area to be called in
For clients with the assigned table.
existing records:
Proceed to step 6.
44
For clients with no
existing records:
Proceed to step 3.
3. Proceed to the 3.1 Refer to OPD None For clients with Nursing Attendant
waiting area and Registration existing 2
wait for your name Citizen’s Charter records: Medical Records
to be called 15 minutes

3.2 Receive 3.2 Give payment For clients with

instructions for instructions no existing
payment of records:
Hospital card for 35 minutes
new client.
4. For those who *Refer to Cashier Consultati 14 minutes Supervising
can Pay the Citizen Charter on fee: Administrative
necessary fees: Php 33 Officer
*Refer to Cashier *Refer to Cashier
Citizen Charter Hospital Cashier
Card: Citizen Charter
Php 22

For those who *Refer to MSS 1 hour Social Welfare

cannot pay the Citizen Charter *Refer to MSS Officer IV
necessary fees and Citizen Charter Medical Social
needs assistance: Work Office
*Refer to MSS
Citizen Charter
5. Present 5.1 Receive OR/ None 10 minutes Nurse Attendant 2
OR/MSS note/form. MSS note/form. Medical Records
Office
5.2 Give hospital
Card

5.3 Print/Retrieve
client’s Individual
Treatment Record
(ITR).
6. Wait to be called 6.1 Call out Patient’s None 20 minutes Nurse Attendant 2
at the waiting area. number or name Medical Records
Office
7.1 Submit self for 7.1 Call patient’s None 10 minutes Doctor
consultation once name accordingly Medical
called Department

None 1 hour

45
7.2 Consult for a 7.2 Take patient
certain ailment history, Examine
patient, Discuss
Treatment plan,
Schedule follow up
check-up/Disposition
TOTAL: Consultati For clients
on fee: with existing
Php 33 records:
2 hours and
Hospital 15 minutes
Card:
Php 22
For clients
with no
existing
records
without
assistance:
2 hours and
59 minutes

For clients
with no
existing
records with
assistance:
3 hours and
45 minutes

46
OPHTHALMOLOGY and ENT

The Ophthalmology Clinic is available every Thursday and ENT (Ears, Nose and Throat) is
available every Friday excluding Holiday from 8:00 am to 4:00 pm. It caters non-emergent cases and
procedures.

Ophthalmology Thursday 8am-4pm Consultation

ENT (Ears, Nose, Throat) Friday 8am-12pm Scheduled Procedure
12pm-4pm Consultation

Office or Division: Out-Patient Department Ophthalmology and ENT

Classification: Simple
Type of G2C
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
For Referral Patients:
Referral Form, for referral patients
Referring Institution
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-up check up
Tagubilin/Discharge instruction, if available Previous Hospital of admission
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.1 Secure 1.1 Issue Request None 10 minutes Nurse Attendant 2
Request Slip for Slip for Out Patient, Nursing Service
Out-Patient, Health Health Declaration
Declaration form Form and queue
and priority number number
at Table 1

1.2 Fill up the

Request Slip for
Out Patient and

47
Health Declaration
Form Secure
priority number and
present it to Guard
on Duty

1.3 Wait for your

number to be
called.
2.1 Proceed to the 2.1 Call out Patient’s None 20 minutes Nurse Attendant 2
Table 2, Triage number or name Nursing Service
area for triaging.
2.2 Assess patient if
2.2 Submit the Emergent or
Request Slip for non-Emergent case
Out Patient and
Health Declaration, 2.3 Take patient’s
Form Secure vital signs, height,
priority number weight

2.4 Instruct patient

to wait at the waiting
area to be called in
the assigned table.

For clients with flu-

like symptoms,
instruct them to
proceed to the Flu
Lane area.

3. Proceed to the 3.1 Refer to OPD None For clients with Nursing Attendant
waiting area and Registration existing 2
wait for your name Citizen’s Charter records: Medical Records
to be called, then 15 minutes
proceed to Table 3
for registration.

3.2 Receive 3.2 Give payment For clients with

instructions for instructions no existing
payment of records:
Hospital card for 35 minutes
new client.

48
3.3 Proceed to
Step 7 for old
client.
4. Pay the *Refer to Cashier Consultati 14 minutes Supervising
necessary fees and Citizen Charter on fee: Administrative
receive the Php 33 Officer
transaction receipts Cashier
at the Cashier Hospital
Card: *Refer to
*Refer to Cashier Php 22 Cashier
Citizen Charter Citizen Charter
5. Apply for *Refer to MSS Consultati 1 hour Social Welfare
assistance to the Citizen Charter on and Officer IV
Medical Social Hospital Medical Social
Service (MSS) and card Fee: Work Office
receive OR/MSS None
note/form, if unable
to pay

*Refer to MSS *Refer to MSS

Citizen Charter Citizen Charter
6. Present 6.1 Receive OR/ None 10 minutes Nurse Attendant 2
OR/MSS note/form. MSS note/form. Medical Records
Office
6.2 Give hospital
Card

6.3 Print/Retrieve
client’s Individual
Treatment Record
(ITR).
7. Proceed to the 7. Instruct patient to None 20 minutes Nurse 2
Eye Clinic 2nd floor proceed to the Eye Nursing Attendant
Main Building and Clinic 2nd Floor Main 2
wait at the waiting Building near Chapel Nursing Service
area until your
name will be call.
8.1 Wait at waiting 8.1 Call patient’s None 10 minutes Nurse 2
area and submit name accordingly Nursing Service
self for
consultation/treatm 8.2 Take patient
ent once called history, Examine
patient, Discuss
8.2 Undertake Treatment plan, None 30 minutes Doctor
interview and Schedule follow up Medical
Department

49
receive treatment check-
plan and instruction up/Disposition.
Total: None For clients
with existing
records:
3 hours and
9mins

For clients
with no
existing
records:
3 hours and
29mins

50
Outpatient Minor Surgery
Services given at Out Patient Department which is under local anesthesia and not
needed to be admitted. It is open from Monday-Friday 8am-12nn.

Surgery Monday-Friday Procedure:

• Excision
• Biopsy
• Incisional and Drainage
• Removal of Foreign Body
• Casting
ENT (Ears, Nose, Throat) Friday Procedure:
• Biopsy
(Fine Needle Aspiration Biopsy, Excision
Biopsy and Punch Biopsy),
• Maxillo-Mandibular Fixation
• Aural Toilet
• Ear Irrigation
• Soar Revision
• Close Nasal Bone Fracture
• Release of Ankyloglossia

Office or Division: Out-Patient Department

Classification: Simple
Type of G2C
Transaction:
Who may avail: All Clients needed for minor surgery
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
For Referral Patients:
Referral Form, for referral patients
Referring Institution
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-up check up
Tagubilin/Discharge instruction, if available Previous Hospital of admission
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
FEES TO PROCESSING PERSON
CLIENT STEPS BE PAID TIME RESPONSIBLE

51
 AGENCY
ACTIONS
For surgery cases: *Refer to OPD Consultatio For clients with Nurse/Midwife
Refer to OPD surgery consultation n fee: existing Nursing Service
surgery consultation citizen charter Php 33 records:
citizen charter 2 hours and 15
Hospital minutes
Card:
For ENT Cases: *Refer to OPD Php 22
Refer to OPD ENT Ophthalmology and For clients with
consultation citizen ENT consultation no existing
charter citizen charter records
without
assistance:
2 hours and 59
minutes

For clients with

no existing
records with
assistance:
3 hours and
45 minutes
2.1 Proceed to the 2.1 Call and assist None 45 minutes Nurse/ Midwife
minor room client to minor room Nursing Service

2.2 Receive 2.2 instruct client

instruction from the change hospital
midwife gown for
preparation for the
minor procedure

2.3 Sign Consent 2.3 Secure consent

and waiver for the procedure

2.4 Prepare client

and equipment for
the procedure
Minor
2.5 Perform the Procedure:
procedure. Php 500
3. After the 3. Give health None 15 minutes Surgeon
procedure receive teachings to the Medical
instruction from the client Department/
surgeon and midwife Midwife
For PHIC client: Nursing Servive

52
 Provide Clearance
Slip
4.1 Proceed to OPD *Refer to OPD *Refer to 21 minutes Pharmacist 2
Pharmacy Pharmacy Citizen OPD Paramedical
Charter pricelist
4.2 Ask for
availability and
charge slip from the
Pharmacy.
5. For Payment of *Refer to Cashier *Refer to 14 minutes Supervising
medication Citizen Charter OPD Administrative
Pharmacy Officer
Price list Cashier

For PHIC availment: *Refer to Claims None 14 minutes Administrative

Citizen Charter Officer
Admin Service
Supervising

*Refer to Billing None 20 minutes Administrative

Citizen Charter Officer
Admin Service
Supervising

For assistance to *Refer to MSS None 1 hour Medical Social

the Medical Social Citizen Charter Work Office
Service (MSS) and Social Welfare
receive OR/MSS Officer IV
note/form, if unable
to pay.
7. Go back to OPD 7.Give post check- None 15 minutes Midwife
for health teaching up instruction Nursing Services
and instructions
Total: Consultatio New client with
n fee: pay hospital
Php 33 card and minor
procedure
Hospital 4 hours and
Card: 40 minutes
Php 22
New client with
pay hospital
Minor card and PHIC
Surgery: minor
Php 500 procedure
5 hours and

53
 *Refer to 9 minutes
OPD
Pharmacy New client with
for pricelist pay hospital
of the card and MSS
medication assistance in
minor
procedure
5 hours and
35 minutes

New client with

MSS hospital
card and pay
minor
procedure
5 hours and
35 minutes

New client with

MSS hospital
card and PHIC
minor
procedure
5 hours and
55 minutes

New client with

MSS
assistance
hospital card
and minor
procedure
6 hours and
21 minutes

Old client with

pay minor
procedure
4 hours and
5 minutes

Old client with

PHIC minor
procedure
4 hours and

54
 25 minutes

Old client with

MSS
assistance in
minor
procedure
4 hours and
51 minutes

55
Scheduling of Elective Surgical Cases
These services are for elective minor or major cases that it should be perform at the main
Operating Room. It is consulted, evaluated and scheduled every Monday-Friday 8:00am-
4:00pm except Holidays For Surgery Cases. For Gyne case every Tuesday and Thursday 8am-
4pm and for ENT every Friday 1pm-4pm

Office or Division: Out-Patient Department

Classification: Simple
Type of G2C
Transaction:
Who may avail: All clients requesting for operation that should be perform at the main
OR
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
and Health Declaration Form (1 Original) Outpatient Department 1, Table 1
For Referral Patients:
Referral Form, for referral patients
Referring Institution
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-up check up
Tagubilin/Discharge instruction, if available Previous Hospital of admission
(1 original copy)
Diagnostic/imaging result, if available Diagnostic/Imaging Unit
(photocopies or originals)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
For surgery cases: *Refer to OPD None For clients with Nurse Attendant 2
Refer to OPD surgery consultation existing Nursing Service
surgery citizen charter records:
consultation citizen 2 hours and 15
charter minutes

For clients with

For Gyne cases: *Refer to OPD OB-
no existing
Refer to OPD OB- Gyne consultation
records
Gyne consultation citizen charter without
citizen charter assistance:

For ENT and *Refer to OPD 2 hours and 59

Ophthalmology Ophthalmology and minutes
Cases: ENT consultation
citizen charter

56
Refer to OPD For clients with
Ophthalmology and no existing
ENT consultation records with
citizen charter assistance:
3 hours and
45 minutes
2.Wait for the 2.1 Notify OR for a None 7 minutes Medical Service
confirm schedule possible schedule of Resident on Duty/
from the OR an elective surgery Nursing Service
Nurse

2.2 Make Diagnostic None 10 minutes Nursing Service

Request Nurse

2.3 Make Checklist

for elective OR

2.4 Log elective

surgery to the log
book
3. Submit self for 3.1 Give checklist, ECG 10 minutes Nursing Service
the instruction once diagnostic request, Nurse
called ECG and Php 330
instructions.
4. Proceed to *Refer to OPD None 20 minutes
Diagnostic labs for laboratory citizen
instruction and charter
charge slip
*Refer to Radiology
OPD citizen charter
5. Come back to
the schedule date
written in the
charge slip.
Total: For new For clients
client: with existing
Consultati records:
on fee: 3 hours and
Php 33 2 minutes

Hospital For clients

Card: with no
Php 22 existing
records with
ECG pay hospital
Php 330 card:

57
 3 hours and
46mins

For clients
with no
existing
records with
MSS
assistance
hospital card:
4 hours and
32 minutes

58
Teletsek-Up

Teletsek-up is an online consultation provided by the Department of Family and

Community Medicine via the Facebook Messenger platform. The service is accessible from 1:00
to 4:00 pm on Weekdays, excluding Wednesdays and holidays.

Office or Division: Family Medicine

Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Electronic Device for Messenger Application Personal
Messenger Account Personal Messenger Account
Verbal Consent (Electronically written) Physician-in-charge
FEES PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS TO TIME RESPONSIBLE
BE
PAID
1. Answer the virtual 1.1 Call the client at the None 5 minutes Medical
call. appointed time. Department
Medical Specialist
1.2 Provide 1.2 Verify the client’s II/I
identification. identity. Medical Officer
IV/III
1.3 Stay on a 1.3 Ensure privacy, if
secluded area to applicable.
ensure privacy, if
applicable.
2. Submit for virtual 2.1 Conduct virtual None 30 minutes Medical
interview and interviews and Department
examination. assessments. Medical Specialist
II/I
2.2 Receive treatment 2.2 Explain the 30 minutes Medical Officer
plan instructions and treatment plan to the IV/III
prescriptions. client.
2.3 Disposition

1 hour and 5
TOTAL None
minutes

59
Teletsek-Up Schedule Of Appointment
Teletsek-up is an online consultation service the Department of Family and
Community Medicine provides via the Facebook Messenger platform. Appointments
are available from 8:00 am to 12:00 pm on Weekdays, excluding Wednesdays and
holidays, and virtual consultations start at 1:00 pm to 4:00 pm on the same days.

Office or Family Medicine

Division:
Classification: Simple
Type of Government to Citizen
Transaction:
Who may avail: All Clients
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Electronic Device for Messenger Application Personal
Messenger Account Personal Messenger Account
Verbal Consent (Electronically written) Physician-in-charge
FEES PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS TO TIME RESPONSIBLE
BE
PAID
1. Send a direct 1.1 Check and None 1 hour Family Medicine
message to retrieve Resident-in-
MHARSMC messages from Charge
Teletsek-up via the MHARS
Facebook Teletsek-up
messenger. account.
2. Read and reply 2.1 Reply to the None 5 minutes Family Medicine
to the message. Resident-in-
disclaimer/consent. Charge

If YES, proceed to 2.1.1 Send the

Step 3. disclaimer/
consent.
If NO, *END OF
SERVICE
3. Fill up and send 3.1 Send the necessary None 10 minutes Family Medicine
back the necessary data to be filled-up Resident-in-
data as requested. by the client. Charge

3.2 Add the 3.2 Ask the client

60
MHARSMC Online to add MHARS
Teletsek-up account Teletsek-up
to your Facebook Facebook
account. account:
https://web.faceb
ook.com/MHARS
MConline
4. Wait for the 4.1 Provide schedule of None 5 Minutes Family Medicine
schedule of appointment to the Resident-in-
appointment. client. Charge

4.2 Forward data to 10 minutes Family Medicine

records personnel. Resident-in-
Charge
4.3 Generate or
30 minutes Administrative
retrieve client’s Assistant
individual treatment Ms. Maria
record (ITR) and give it Wilma Jessica
to the physician Mira

TOTAL: None 2 hours

61
Tuberculosis Case Finding

TB DOTS is a specialized treatment unit for tuberculosis-diagnosed or -

suspected patients. It offers services to both outpatient and hospitalized patients. The
unit is open from 8:00 am to 4:00 pm, Monday through Friday, excluding holidays.

Office or
Out-Patient Department
Division:
Classification: Simple-Complex
Type of
Government to Citizen
Transaction:
Who may avail: All Clients for screening and treatment of Tuberculosis
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old Patients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
For New Patients:
Filled out Request Slip for Out-Patient, (1
Outpatient Department 1, Table 1
original copy)
Health Declaration Form, (1 original copy) Outpatient Department 1, Table 1
Hospital Card, (1 original copy) Outpatient Department 1, Table 3
For Referral Requirements:
Referral Form, referred clients, (1 original
Referring Institution
copy)
Diagnostic/imaging result, if available
Diagnostic/Imaging Unit
(photocopies or originals)
For Follow-Up Check-up Requirements:
Diagnostic/imaging result, if available
Diagnostic/Imaging Unit
(photocopies or originals)
Tagubilin/Discharge instruction, if
Previous Hospital of Admission
available (1 original copy)
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1. Secure priority a *Refer to OPD 1 Consultati For clients with *Refer to OPD 1
number, and fill up Citizen Charter on fee: existing Citizen Charter
out-patient forms. Steps 1-8. Php 33 records: Steps 1-8.
Proceed to triage, 2 hours and
then registration, Hospital 15 minutes
payment, and Card: For clients with
consultation, no existing
Php 22
respectively. records but not
requiring MSS
assistance:

62
*Refer to OPD 1 2 hours and
Citizen Charter 59 minutes
Steps 1-8.
For clients with
no existing
records but
requiring MSS:
3 hours and
45 minutes
2. Proceed to the 2.1 Call the client’s None 10 minutes Nursing Service
TB DOTS clinic name and/or Nurse 3
once called. number.
3.Submit 3.1 Check order None 30 minutes Nursing Service
requirements to and requirement for Nurse 3
the DOTS in- completeness
charge for initial
assessment 3.2 Fill out NTP form
2a (Lab request and
3.2 receive Result Form) and
laboratory and Chest X-ray request
chest xray
requests 3.3 Provide
specimen bottle and
3.3 receive teach client how to
specimen bottles collect specimen
and listen to properly.
instruction
3.4 Instruct client to
submit specimen to
the Clinical
Laboratory and then
submit self for Chest
X-ray at the
Radiology
Department.

63
4. Submit sputum *Refer to Clinical None 2 days and 35 Clinical
specimen for Xpert Laboratory Citizen minutes Laboratory
MTb/Rif together Charter Medical
with request from Technologist 2/1
at the Clinical
Laboratory

4.1 Get results on 21 minutes Clinical

the date and time Laboratory
instructed at Medtech 2/1
Clinical Laboratory
*Refer to
*Refer to Clinical Clinical
Laboratory Citizen Laboratory
Charter Citizen Charter

5.Submit for Chest *Refer to Radiology *Refer to 1 day and 37 Radiology

X-ray procedure at Citizen Charter Radiology minutes Department
the Radiology Citizen Radiologic
Department Charter Technologist
4/3/2/1

5.1 Get results on 5 minutes

the date and time
instructed at
Radiology
Department

*Refer to **Refer to
Radiology Citizen Radiology
Charter Citizen Charter
6. Pay the *Refer to Cashier Chest 14 minutes Supervising
necessary fees Citizen Charter xray fee: Administrative
and receive the Php 200 Officer
transaction Cashier
receipts at the
Cashier

*Refer to Cashier *Refer to

Citizen Charter Cashier
Citizen Charter
7. Apply for *Refer to MSS Consultati 1 hour Social Welfare
assistance to the Citizen Charter on and Officer IV
Medical Social Hospital Medical Social
Service (MSS) and card Fee: Work Office

64
receive OR/MSS None
note/form, if
unable to pay

*Refer to MSS *Refer to MSS

Citizen Charter Citizen Charter
8. Submit result at 8.1 receive results None 10 minutes Nursing Service
DOTS Clinic and referred back to Nurse 3
TB DOTS physician
9. Receive 9.1 Treatment Plan None 30 minutes Medical
treatment plan Medical Specialist
9.2 Provide I/II, Medical
9.2 Receive prescriptions and Officer IV/III
prescriptions and diagnostics requests Nursing Service
diagnostics as deemed Nurse 3
requests, if necessary.
applicable. Disposition

Total: Consultati For clients with

on fee: existing
Php 33 records:
3 days and
Hospital 5 hours and
Card: 27 mins
Php 22
For clients with
existing
Php 200
records and
requiring MSS:
For MSS 3 days and
clients: 6 hours and
NONE 40 mins

For clients with

no existing
records but not
requiring MSS:
3 days and
6 hours and
11 minutes

For clients with

no existing
records but
requiring MSS:

65
 3 days and
7 hours and
43 minutes

66
Tuberculosis Case Finding For In-Patients

TB DOTS is a specialized treatment unit for tuberculosis-diagnosed or -suspected

patients. It offers services to both outpatient and hospitalized patients. The unit is open
from 8:00 am to 4:00 pm, Monday through Friday, excluding holidays.

Office or
Out-Patient Department
Division:
Classification: Simple
Type of
Government to Citizen
Transaction:
Who may avail: All Clients for screening and treatment of Tuberculosis
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Referral Requirements:
Referral Form, referred clients, (1 original
Referring Institution
copy)
Chest X-ray results (photocopies or
Imaging Unit
originals)
Gene Xpert result Diagnostic Unit
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.1 Significant 1.1 Call the client’s None 10 minutes Nursing Service
other will proceed name and/or Nurse 3
to the TB DOTS number.
clinic.
1.2 Check order None 30 minutes Nursing Service
1.2. Submit and requirement for Nurse 3
requirements to completeness
the DOTS in-
charge for initial 1.3 Fill out NTP form
assessment 2a (Lab request and
Result Form)
1.3 receive
laboratory 1.4 Provide
specimen bottle and
teach significant
1.4 receive other how to collect
specimen bottles specimen properly.
and listen to
instruction 1.5 Instruct
significant other to
*if with Gene Xpert submit specimen to
result proceed to the Clinical
step 3 Laboratory

67
2. Submit sputum *Refer to Clinical None 2 days and 35 Clinical
specimen for Xpert Laboratory Citizen minutes Laboratory
MTb/Rif together Charter Medical
with request from Technologist 2/1
at the Clinical
Laboratory

2.1 Get results on 21 minutes Clinical

the date and time Laboratory
instructed at Medtech 2/1
Clinical Laboratory

*Refer to Clinical *Refer to

Laboratory Citizen Clinical
Charter Laboratory
Citizen Charter
3. Submit result to 3.1 Receive the None 5 minutes Nursing Service
TB DOTS clinic. results Nurse 3

3.2 Proceed to TB 3.2 Accompany None 5 minutes Nursing Service

DOTS Physician. significant other to Nurse 3
the TB DOTS
Physician with the
necessary
documents.
3.Receive 3.1 Review record None 30 minutes Medical
prescriptions and and results. Explain Department
instructions from the result to the Medical Specialist
Physician. significant other. II / Medical Officer
IV
3.2 Provide
prescriptions,
instructions, and
laboratory requests,
if applicable.

3.3 Return the

records to the NTP
nurse.

3.4 Receive 3.4 Give instructions None 30 minutes Nursing Service

instructions on on how to get the Nurse 3
getting medication medication from the
from the Pharmacy, and
Pharmacy, and proceed to ward
thereafter.

68
proceed to ward
thereafter.
Total: None For patient
without Gene
Xpert:
2 days and
2 hours and
46 minutes

For patient
with Gene
Xpert:
2 hours

69
Women And Child Protection Service
Administer and attend to cases involving crimes against chastity, sexual
harassment, abuses against women and children, and other similar offenses. The
service is available to examine abused clients: a) Fresh cases or cases within 72
hours of incident are available Monday to Friday, 24/7. While on Saturdays,
Sundays, and Holidays, clients are brought to the Emergency Room for
examination. b) Old cases or more than 72 hours of incident are catered to from
Monday to Friday, except Holidays, time is at 1:30-4:00pm.

Office or Division: Women and Children Protection Unit

Classification: Simple
Type of G2C and G2G
Transaction:
Who may avail: Complainant where complaints fall in violation of women and children
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
For Old and New Patients:
Filled out:
Request Slip for Out Patient (1 Original) Outpatient Department 1, Table 1
For Referral Patients:
Referral letter for Walk-in patients Philippine National Police
Department of Social Welfare and Development
Local Government Unit
Police request examination Philippine National Police/ Barangay Hall
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1.1Present referral 1.1 Assess referral None 10 minutes Nurse Attendant 2
letter from PNP or letter as to what kind Nursing Service
DSWD to Table 1 of service/s is/are
requested or needed

1.2 Secure 1.2 Issue Request

Request Slip for Slip for Out Patient
Out-Patient

1.3 Fill up the

Request Slip for
Out Patient give it
to Table 2

70
For admitted
patients, proceed
to step 6.1.
2.1 Proceed to the 2.1 Assess patient None 10 minutes Nurse Attendant 2
Table 2, Triage Nursing Service
area.

2.2 Submit the 2.2 Take vital signs,

Request Slip for temperature, height
Out Patient and weight
3. Proceed to table 3.1 *Refer to OPD None For clients with Nursing Attendant
3 the OPD Registration existing 2
Registration Citizen’s Charter records: Medical Records
15 minutes
*Refer to OPD
Registration Citizen For clients with
Charter no existing
records:
35 minutes
4. Proceed to 4. Escort the client None 10 minutes Nurse/Nursing
WCPU staff and endorse to Attendant
WCPU staff Nursing Service
5. Submit Referral 5.1 Receive and None 15 minutes Psychologist
letter from PNP or assess the referral
DSWD letter

5.2 Give consent 5.2 Secure Consent

that the WCPU staff
may examine the
client and take
photographs of
injuries for medical
records

5.3 Take initial None 1 hour OB Resident

interview with the Medical
client and family Department
member present

5.4 Ask to provide

details about his/her
family, home
situation, schooling
and past medical
history

71
6.1 The family 6.1 Ask family None 1 hour OB Resident
member/ guardian member/guardian to Medical
will be ask to wait wait outside Department
outside
6.2 Interview the
client alone

6.3 Conduct a full None 30 minutes OB Resident

medical history and Medical
physical examination Department
of the client.
7. The family 7.1 Request for None 10 minutes OB Resident
member/guardian diagnostic Medical
will be ask to go procedures and Department
back inside to prescription.
discuss plan and
result 7.2 Explain
treatment plan to
patient.
8. Go back to 8.1 screen for None 1 hour Psychologist 2
WCPU are for possible mental Paramedical
mental health health squeal of Department
screening abuse or other
concurrent problems

8.2 evaluate their

coping mechanism
with stress of abuse,
neglect or familial
separation
9. Pay the *Refer to Cashier Consultati 14 minutes Supervising
necessary fees and Citizen Charter on fee: Administrative
receive the Php 33 Officer
transaction receipts Cashier
at the Cashier Hospital
Card:
Php 22

*Refer to Cashier *Refer to

Citizen Charter Cashier
Citizen Charter
10. Apply for *Refer to MSS Consultati 1 hour Social Welfare
assistance to the Citizen Charter on and Officer IV
Medical Social Medical Social

72
Service (MSS) and Hospital Work Office
receive OR/MSS card Fee:
note/form, if unable None
to pay

*Refer to MSS *Refer to MSS

Citizen Charter Citizen Charter
11. Present 11.1 Receive OR/ None 10 minutes Nurse Attendant 2
OR/MSS note/form. MSS note/form. Medical Records
Office
11.2 Give hospital
Card

11.3 Print/Retrieve
client’s Individual
Treatment Record
(ITR).
12. Proceed to 12.1 Call out None 20 minutes Nurse Attendant 2
OPD 2 building 2nd Patient’s number or Medical Records
floor triage name Office
reception and wait
to be called at the 12.2 Take patient’s
waiting area. vital signs, height,
weight

12.3 Instruct patient

to wait at the waiting
area to be called in
the assigned table.
8.1 Wait at waiting 8.1Call patient’s None 10 minutes Doctor
area and submit name accordingly Medical
self for consultation Department
once called 8.2 Take patient None 30 minutes
history, Examine
8.2 Consult for a patient, Discuss
certain ailment Treatment plan,
Schedule follow up
check-up/Disposition
TOTAL: Consultati For clients
on fee: with existing
Php 33 records:
3 hours and
9mins

73
 Hospital
Card: For clients
Php 22 with no
existing
records:
3 hours and
29mins

74