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 with corresponding diagnosis issued by HMO accredited doctor . 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 you will receive another confirmation email or phone call from our staff once your booking and approval has been confirmed.
NOTE: This online service is UNABLE to process approvals for the following procedures: Doctors Consultation, Annual Physical Examination and Pre-Employment Examination. For URGENT or STAT requests, Kindly proceed directly to our branches.
For Instruction please click here (


Name *
*Should match valid ID & HMO Card
Date of Birth *
Gender *
Contact Number *
Email Address *
Type of Valid ID *
Valid ID Number *
Upload Valid ID Image
*Please upload images with file type .jpg and .png only.



HMO Card *
HMO Card Image Upload HMO Card Image
*Please upload images with file type .jpg and .png only.
HMO ID/Policy Number *
Company Name *



Doctor's Full Name *
Specialization *
Doctor's Request Upload Doctor Request
*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.
Clinic Address/
Hospital Affiliation
Diagnosis *



HPD Branch *
*Kindly check our website for the services available in our
Preferred Date of Visit *
*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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