Drive-Thru Services


You can avail the following services at the comfort of your vehicle.


Procedure

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Summary



Personal Information
Patient Type:

Fullname:

Gender:

Birthdate:

Nationality:

Civil Status:

Religion:

Viber Number:

Email Address:

Complete Address:

Appointment Information
Company / Employer:

HMO Provider:

HMO Card Number:

Attending Physician:

Concerns:

Preferred Schedule:

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