OFW Para sa Pamilya
OFW Para sa Pamilya

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Request for Initial Appoinment

Kailangan kong maki-appointment sa doctor. Please help me arrange an appointment with a good doctor in the Philippines:

Patient's Information
Full Name:    Age:    Sex: 
 
                                       Mobile Number:   Phone Number:
Contact No. in Philippines:    
Address in the Philippines:  
Chief Complaint/Ano ang nararamdaman?  
Duration of symptoms/Gaano katagal na ang nararamdaman? 
Hospital of choice:   The Medical City Makati Medical Center
Associated Symptoms: 
Vaginal bleeding
 

OFW Information
Last Name    First Name    M.I.  
 
                    Mobile Number:    Country Code:        City code:       Phone Number:
Contact No:         
Email:  
Retype Email: 
Overseas Address: 
Member of this website?   Yes No    Click here to Register
Online Nickname: 
Greeting Card Information: Please write a message and attach a picture or drawing which we will deliver to your patient-relative.
Greetings:
Attachment: 
 
I agree to the Terms and Conditions of this service.
I do not agree to the Terms and Conditions of this service.
 
  
 

Payment Information
Initial Consultation Fee is PhPesos 850.00

  • Within 24 hours of receipt of payment, we will confirm appointment with you, and we will contact your patient directly.

  • Patient should proceed to the designated office in the specified hospital where our Service representativve will bring them to their appointment.

Pay the Consultation Fee via Credit Card, Foreign or Philippine bank account, or PayPal. Click here (to Disclaimer, PayPal, or Xoom).

 

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