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Issuance Of Health/Medical Certificatee

Office Provider: Municipal Health Office

Now, we at the Office of Online E-SERVICE Forms from the Department of Santa Rosa are available to assist you online. Tired of waiting in line? Visit our website to check if the form you need is available, and we will assess and process it online with the help of the e-Government website.

Additional Info

Patient Enrollment Record

List of Online Application.
Application Image Patient Enrollment Record
Forms
Fecalysis
Chest X-tray
Urinalisys
Community Tax Certificate (Cedula)
1x1 picture
Drug Test
Complete Blood Count (CBC)
Official Receipt from B.O.S.S.
StepProcedure
Step 1 [APPLICANT/CLIENT]|Secure all the laboratory requirements with result
  • SERVICE PROVIDER
  • Conduct all laboratory requirements
Step 2 [APPLICANT/CLIENT]|Proceed to B,O,S,S, for payment
  • SERVICE PROVIDER
  • Physical/Medical examination done by the physician
Step 3 [APPLICANT/CLIENT]|Releasing
  • SERVICE PROVIDER
  • Issuance of health/medical certificate
Complete all the Blank Fields.
Reference code found at the bottom pdf.
Upload a PDF or image (JPG, JPEG, PNG) of your valid ID.
Upload a PDF or image of your fecalysis result.
Upload a PDF or image of your chest X-ray result.
Upload a PDF or image of your urinalysis result.
Upload a PDF or image of your cedula.
Upload a JPG, JPEG, or PNG file of your 1x1 picture.
Upload a PDF or image of your drug test result.
Upload a PDF or image of your CBC result.
Upload a PDF or image of your official receipt from B.O.S.S.

Please submit your application form as a PDF. You will receive an email or SMS notification once your application is ready for printing and submission to our office.

Form Status

Enter your Form-id to check your documents status

  • Pending to Process [documents pending]
  • Processing [Your documents is reviewing by our team]
  • for-Interview [Interview to support documents]
  • Complete [You can now received your cash assistance.Visit to Social Welfare Development Office.]
form-id Comment Status Processor

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