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Get and Sign Philhealth Form Cf2 Print 2018-2022

Get and Sign Philhealth Form Cf2 Print 2018-2022

Number/Name of Accredited Health Care Professional/Date Signed and Professional Fees/Charges Use additional CF2 if necessary Accreditation number/Name of Accredited Health Care Professional/Date Signed Details Signature Over Printed Name Date Signed No co-pay on top of PhilHealth Benefit With co-pay on top of PhilHealth Benefit P PART III - CERTIFICATION OF CONSUMPTION OF BENEFITS AND CONSENT TO ACCESS PATIENT RECORD/S NOTE Member/Patient should sign only after the applicable charges have been...
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