Process Flow on Granting
Provisional Certificate in Primary Care
ACCOUNT CREATION
To access the required
courses for the Provisional
Certificate, PCWs must create
an account on the DOH
eLearning Platform.
(https://learn.doh.gov.ph)
APPLICATION FOR THE
PROVISIONAL CERTIFICATE
PCWs must accomplish the
online application form
(bit.ly/2024PCWapplication)
with the following
documentary requirements:
1. Accomplished Applicant’s
Informantion Sheet
(https://bit.ly/PCWAIS)
2. Proof of Employment
a. Latest Certificate of
Employment (Private
facilities)
b. Endorsement letter of
applicant (Public facilities)
3. Certificate of
Completion from the
required courses on Step 2
COMPLETION OF COURSES
PCWs must complete the
following DOH Academy courses:
1. UHC Implementers’ Course
(Open Access)
2. Integrated Course on
Primary Care
Total of Thirteen (13) certificates.
ISSUANCE OF THE
PROVISIONAL CERTIFICATE
Upon verification of the
submitted requirements, the
Health Human Resource
Develelpoment Bureau
(HHRDB) will issue a
Provisional Certificate to the
qualified Primary Care Worker.
For inquiries and concerns:
pcwcp4@doh.gov.ph
(02) 873 17 578 loc. 4250-4254
 Process Flow on Renewal of
Provisional Certificate in Primary Care
LOG IN ACCOUNT
To access the required
courses for the Provisional
Certificate, PCWs must log in
to their account on the DOH
eLearning Platform.
(https://learn.doh.gov.ph)
APPLICATION FOR THE
PROVISIONAL CERTIFICATE
PCWs must accomplish the online
application form
(https://bit.ly/PCWCPRenewal)
with the following documentary
requirements:
1. Accomplished Applicant’s
Informantion Sheet
(https://bit.ly/PCWAIS)
2. Proof of Employment
a. Latest Certificate of
Employment (Private facilities)
b. Endorsement letter of
applicant (Public facilities)
4. Expired Provisional
Certification as Primary Care
Worker for Universal Health
Care
COMPLETION OF COURSES
PCWs must complete the
following DOH Academy courses:
1. UHC Implementers’ Course
(Open Access)
2. Integrated Course on
Primary Care
Total of Thirteen (13) certificates.
ISSUANCE OF THE RENEWED
PROVISIONAL CERTIFICATE
Upon verification of the
submitted requirements, the
Health Human Resource
Develelpoment Bureau
(HHRDB) will issue a renewed
Provisional Certificate to the
qualified Primary Care Worker.
For inquiries and concerns:
pcwcp4@doh.gov.ph
(02) 873 17 578 loc. 4250-4254
 Republic of the Philippines
DEPARTMENT OF HEALTH
PRIMARY CARE WORKERS’ CERTIFICATION PROGRAM
APPLICATION FORM
APPLICANT’S PERSONAL INFORMATION
Name (Last Name, First Name, Middle Name) Suffix/ Extension Name Sex
☐Male
☐Female
Date of Birth (mm/dd/yyyy) Age Citizenship Civil Status
☐Filipino ☐Single ☐Widowed
☐Dual Citizenship; ☐Married ☐ Separated
Country:_________ ☐Others: ____________
Active Mobile Number Active Email Address
Office Email: Personal Email:
Profession PRC License
Number: _____________ Date of Issuance: ____________ Date of Expiration:_____________

EDUCATIONAL BACKGROUND (Most Recent)

Period of Attendance Highest Level/
Year
Level Name of School Degree/ Course Units Earned if
Graduated
From To not graduated
Graduate Studies
Tertiary
PRESENT WORK EXPERIENCE/ HEALTH FACILITY INFORMATION
Position Title Name of Facility Type of Facility
☐Rural Health Unit ☐Private Medical Clinics
☐Municipal/City/Provincial Health Office
☐Birthing Home ☐Hospital/Infirmary
Status of Employment Type of Ownership ☐Barangay Health Station
☐Private-owned ☐Government-owned ☐Others, pls. specify: ___________
PhilHealth eKonsulta Accredited
☐Yes ☐No
Complete Address of the Health Facility Region:
(Floor, Building Name, No., Street, Barangay, Municipal/City, Province, Postal Code)
Province:
Municipality/ City:
CURRENT ROLES AND RESPONSIBILITIES (Use separate paper, if necessary)

I hereby declare that all of the submitted documents and information provided with this application form are true,
correct, and complete pursuant to the provisions of pertinent laws, rules, and regulations of the Republic of the
Philippines.

I authorized the agency head/ authorized representative to verify/ validate the content stated herein.

_________________________________ ___________________
Applicant’s Signature Over Printed Name Date

DOH-PCP-Applicants Information Sheet (Form 1)

Revision 2
December 2022
 Endorsement of Primary Care Workers’ Certification Applicants

[Date]

FOR : JOHANNA S. BANZON, RN, MscIH, DTMPH

Director IV
Health Human Resource Development Bureau

FROM: : [Name of Head of Office]

[Position]
[Name of Provincial/City Health Office]

This is to formally endorse and attest that the following individuals are currently
working/employed in a primary care facility and have applied for the primary care workers’
certification.

Name Profession Name of Contact Number Email Address

Primary Care
Facility

Midwife

Nurse

Physician

Thank you.