Good news for our HMO cardholders, no need to wait for the approval. We can now process your HMO requests for laboratory procedures prior to your visit by completing this form.

You will be required to upload your valid ID, HMO card, and test request issued by an HMO accredited doctor with corresponding diagnosis. Unmatched details may result in delay of approval. We will contact you to verify some information if necessary.

Kindly note submission of this form should be at least 2 days before the scheduled date and that approved requests are only valid within 2 days from appointment date.

You will receive a confirmation email once your request has been successfully received. Please bear in mind that you will receive another confirmation email or phone call from our staff once your booking and approval have been confirmed.

Note: This online service is UNABLE to process approvals for STAT or Urgent requests as well as procedures / services that require confirmation of availability / appointment (Ultrasound, 2D Echo, Treadmill/Stress Test, Stress Echo, Vascular, Holter Monitoring, Ambulatory Blood Pressure Monitoring, Doctor’s Consultation, and Pap Smear Collection).

For STAT or urgent request and procedures / services that require confirmation of availability / appointment, go to Branches page (create hyperlink) and choose your preferred branch. Check the branch information and contact them directly to inquire and ask assistance to process your HMO approval.

For instructional video on how to complete the form, please click this link (https://youtu.be/UoWiOZWUUL4).

PATIENT DETAILS








Upload Valid ID Image
Please upload images with file type .jpg and .png only.
HMO DETAILS


Upload HMO Card Image
Please upload images with file type .jpg and .png only.


DOCTOR'S DETAILS


*Please note that Doctor Request should have the ff. information or fill up these fields
*Please upload images with file type .jpg and .png only.


MAKE AN APPOINTMENT


*Kindly check our website for the services available in our branches


*Some procedures are by appointment only, kindly check our website for the list of services available in your preferred branch and call first to schedule an appointment

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