• OUT PATIENT CONSULTATION ( Non Program )

Requirements:

  1. Patient Chart – Complete data, Chief complaints
  2. Vital signs
  3. Referral slips
  4. Phil Health Indigency Card if enrolled
StepsDurationPerson Responsible
1Logs in Clients2 minutes
2Secure Patient Chart
- New – Advice client to provide non spring notebook to be used as individual treatment record
- Old – Must find individual treatment record
5 minutes*Midwife on duty
3Interview Client of need5 minutes
4Get Vital Signs
- Blood Pressure
- Temperature
- Weight
- Pulse Rate
15–25 minutes
*Midwife on duty
Carmelita G. Fadrigo
Nurse II
5Line for Consultation
- 0 - < 2 weeks
- 2 weeks - < 5 years old
- 5 years old and above
5 minutes
Carmelita G. Fadrigo
Nurse II
*Midwife on duty
Ma. Eva D. Pacificador
Municipal Health Officer
6Management of Clients
Prescribe Medicine if not available
Issuance of Referral for complicated cases /
for laboratory examination / admission to higher facility
20–30 minutes
7Management of Clients
Prescribe Medicine if not available
Issuance of Referral for complicated cases /
for laboratory examination / admission to higher facility
5 – 10 minutesMa. Eva D. Pacificador,MD
Municipal Health Officer
8Provision of Medicine if available5 – 10 minutes*Midwife on duty
Carmelita G. Fadrigo
Nurse II
9Provision of Instruction and counseling5 – 10 minutes

* Midwife on duty will give medicines, proper instruction of dosage of medicines, gives advices & counseling to clients.

  • OUT PATIENT CONSULTATION (Program)
  • Immunization
    • Hepatitis B vaccination
    • Bacillus Calmette Guerin vaccination
    • Oral Polio vaccine
    • Diptheria Pertusis Tetanus vaccine
    • Tetanus Toxoid
  • Reproductive Health
    • Tuberculosis
    • Integrated Management of Childhood Illnesses
    • Nutrition

Requirements:

  1. Patient chart – complete data, Chief complaints
  2. Vital Signs
  3. Referral slips

Fees:    None

StepsDuration
Person Responsible
1Log in Clients2 minutes
*Midwife on duty

2Secure Patient Chart
- New – Advice client to provide non spring notebook to be used as individual treatment record
- Old – Must find individual treatment record
5 minutes
3Interview Client needs5 minutes*Midwife on duty
Carmelita G. Fadrigo
Nurse II
4Get Vital Signs
- Blood Pressure
- Temperature
- Weight
- Pulse Rate
15–25 minutes
5Line up for Consultation
New
Follow up
2 - 5 minutesMidwife on duty
6Conduct Consultation:
- New
History Taking
Physical Examination
Writing of Management
- Follow up
Writing complaints
Physical Examination
Writing of Management
20–30 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
7Management of Client
If with abnormal findings refer to Municipal Health Officer for management and treatment
20 minutesCarmelita G. Fadrigo
Nurse II
*Midwife on duty
8Prescribe medicine if no stock at hand10 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
9Provision of medicine if available with instructions5 minutes*Midwife on duty
Carmelita G. Fadrigo
Nurse II
10Filling of RecordsAfternoon ( 2 Hours)
  • ISSUANCE OF HEALTH CARD For BUSINESS PERMIT (Food and Non Food Business)

Requirements:

  1. Results of the following Laboratory examination:
    • Stool Examination
    • Urinalysis
    • Sputum Examination
    • Official receipt for Health Card

Fees:    40.00 php

StepsDurationPerson Responsible
1Client submits requirements3 minutesClient
2Review the documents submitted5 - 10 minutesMerla A. Indencia
Sanitary Inspector I
3Instruct clients when to return if documents are incomplete5 minutes
4Fill up Health card and sign appropriately5 –10 minutes
5Submit to physician for signature5 minutes
6Sign Health Card if with normal findings5 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
7Treat and manage client with abnormal findings20 - 30 minutes
8Release of Health Card 5 minutesMerla A. Indencia
Sanitary Inspector I
  • Validity of Health Card
    • Food – 6 months
    • Non Food – 1 year
  • ISSUANCE OF SANITARY PERMIT

Requirements:

  1. Official Receipt of Sanitary Permit
  2. Health cards of Owner and employees as identified in Business Permit
  3. Inspection Report of Sanitary Inspector

Fees:    25.00 PhP

StepsDurationPerson Responsible
1Interview clients5 minutesMerla A. Indencia
Sanitary Inspector I
2Assess requirements 5 - 10 minutes
3Ocular inspection of the establishment5 Hours
4Prepares sanitary permit5 –15 minutes
5Sign Document5 - 15 minutesMerla A. Indencia
Sanitary Inspector I
Ma. Eva D. Pacificador,MD.
Municipal Health Officer

Spot inspection shall be conducted anytime.  However, a Sanitary Permit shall be revoked at anytime based on findings of violation(s) during the spot inspection.

            Validity 1 year

  • ISSUANCE OF LABORATORY EXAMINATION RESULTS

(Stool examination, Urinalysis, Complete blood count, Sputum exam, Platelet count, Pregnancy test, Blood sugar, Lipid Profile)

Requirements:

  1. Request for examination
  2. Official Receipt of examination needed
  3. Referral slip / chart

Fees:

  1. Sputum examination      –           free
  2. Stool examination              –            P 30.00
  3. Urinalysis                          –            P 30.00
  4. Complete Blood Count      –            P110.00
  5. Platelet Count                    –            P  50.00
  6. Pregnancy Test               –           P150.00
  7. Blood Sugar                     –            P100.00
  8. Lipid Profile                      –            P650.00
StepsDurationPerson Responsible
1Receives specimen submitted by client3 minLaboratory Technician
Midwife on duty
2Records Specimen and specific details 5 minMedical Technologist
Laboratory Technician
3Examination of specimen
Stool
Urinalysis
Complete Blood Count
Sputum exam
Platelet Count
Pregnancy Test
Blood Sugar
Lipid Profile
Medical Technologist
Laboratory Technician
Merla A. Indencia
Sanitary Inspector I
4Records findings5 –10 min
5Prepares report5 min
6Issues report to client5 min
7Tells client to return results to requesting authority3 – 5 min
  • ISSUANCE OF MEDICAL CERTIFICATE ( School / Employment / Financial aid for individual in crisis / retirees and senior citizen/ insurances)

Requirements:

  1. Patient chart
  2. Vital Signs
  3. Official Receipt

Fees:

  1. Employed         –           50.00    PhP
  2. Student             –             5.00    PhP
  3. Insurances        –            50.00   PhP
StepsDurationPerson Responsible
1Logs in Clients and records client data in log book2 minutes*Midwife on duty
2Secures Patient Chart
- New – Advice client to provide non spring notebook to be used as individual treatment record
- Old – Must find individual treatment record
5 minutes
3Interviews Client of need5 minutes
4Get Vital Signs:
- Blood Pressure
- Temperature
- Weight
- Pulse Rate
15–25 minutes
5Line up for Consultation5 minutes
6Actual Consultation20–30 minutes
7Prepares Medical Certificate15–30 minutes Ma. Eva D. Pacificador,MD.
Municipal Health Officer
8Releases Medical Certificate5 minutes
  • REQUEST FOR MEDICO – LEGAL EXAMINATION AND CERTIFICATION (Vehicular accident, mauling incident, Physical and Sexual abuse, Confirmation of Sex, Physical Examination of Prisoners)

Requirements:

  1. Patient chart
  2. Vital Signs
  3. Request from Philippine National Police

Fees:

  1. Confirmation of Sex      –          P 50.00
StepsDurationPerson Responsible
1Logs in Clients2 minutes*Midwife on duty
2Secures Patient Chart
- New – Advice client to provide non spring notebook to be used as individual treatment record
- Old – Must find individual treatment record
5 minutes
3Get Vital Signs
- Blood Pressure
- Temperature
- Weight
- Pulse Rate
15 – 25 minutes
4Line up for Consultation5 minutes
5Actual Consultation20–30 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
6Records Finding20–30 minutes
7Prepares Medico-legal report/ medical certificate1 hour
8Reviews and signs Medico-legal report / medical certificate3 hours
9Issuance of Medico-legal report / medical certificate5 minutes
  1. REQUEST FOR POST MORTEM EXAMINATION

 Requirements:

  1. Request from Philippine National Police
  2. Folks or Relatives of cadaver
  3. Vehicle from Philippine National Police

Fees:    None Required

StepsDurationPerson Responsible
1Receives request for examination2 minutesPhilippine National Police
2Receives and signs request5 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
3Schedule time for examination5 -10 minutes
4Actual examination3 – 5 hours
5Prepares Post Mortem Examination result1 – 2 hours
6Reviews and signs Post Mortem examination Result2 – 3 hours
77 Submits request for Post Mortem Examination Result5 minutesPhilippines National Police
8Issuance of Post Mortem Result3 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
  1. PREPARATION OF CERTIFICATE OF LIVE BIRTH FOR REGISTRATION

Requirements:

  1. Birth Certificate Form

Fees:    None Required

StepsDurationPerson Responsible
1Receives request from Clients5 minutes*Midwife on duty
2Fills up Birth Certificate (CBC) forms15-25 minutes
3Signs birth certificate form5 minutes
4Informs client to submit to Municipal civil Registrar15 minutesClient
  • PREPARATION OF DEATH CERTIFICATE FOR REGISTRATION

Requirements:

  1. Barangay Certification of Death
  2. Death certificate Form

Fees:      None

StepsDurationPerson Responsible
1Interview Clients/Folks5 - 10 minutesMidwife on duty
Ma. Eva D. Pacificador,MD.
Municipal Health Officer
2Prepares and Fill up Death Certificate Form15 - 20 minutes*Midwife on duty
3Sign Documents5 - 10 minutes

Midwife on duty
Informant
Ma. Eva D. Pacificador,MD.
Municipal Health Officer
4Release and advice client for signature of embalmer and return document for registration at the
Municipal Civil Registrar
5 minutesMa. Eva D. Pacificador.MD.
Municipal Health Officer
  • ISSUANCE OF TRANSFER OF CADAVER

Requirements:

  1. Death Certificate
  2. Official Receipt for Transfer of Cadaver

Fees:                P 100.00

StepsDurationPerson Responsible
1Interview Clients5 minutesMidwife on duty
2Fill up form10 - 15 minutesMidwife on duty
Carmelita G. Fadrigo
3Sign transfer of cadaver form5 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer Carmelita G. Fadrigo
Nurse II
4Release of form2 minutesCarmelita G. Fadrigo
Nurse II
*Midwife on duty
  1.      ISSUANCE OF PERMIT FOR EXHUMATION

Requirements:

  1. Copy of Death Certificate
  2. Official Receipt

Fees:

  1. P100.00   :    Medico legal Purposes
  2. P  25.00   :    For Reburial
StepsDurationPerson Responsible
1Interviews Client/Folks5 minutesMerla A. Indencia
Sanitary Inspector I
2Assess documents5 - 10 minutes
3Prepares and signs documents15 - 20 minutes
4Approves the request10 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
5Release Approved permits5 minutesMerla A. Indencia
Sanitary Inspector I
  • ISSUANCE OF FAMILY PLANNING & RESPONSIBLE PARENTHOOD      COUNSELLING CERTIFICATE

Requirements:

  1. Actual attendance of clients every Monday 9 -12 AM
  2. Official receipt for premarital counseling

 Fees:               P 25.00 per couple

StepsDurationPerson Responsible
1Logs in record in log book5 minutes*Midwife on duty
2Actual counseling3 hours
*Midwife on duty
Carmelita G. Fadrigo
Nurse II
3Prepares certificate5 - 15 minutes
4Signs the counseling
certificate
5 minutes
Midwife on duty
Ma. Eva D. Pacificador,MD.
Municipal Health Officer Carmelita G. Fadrigo
Nurse II
5Releases document5 minutes*Midwife on duty
  • TO ANSWER TO COMPLAINTS REGARDING ENVIRONMENTAL HEALTH

 Requirements:              Letter of Complaint

Fees:                            None

StepsDurationPerson Responsible
1Interviews Clients5 minutesMerla A. Indencia
Sanitary Inspector I
2Assess complaints10 - 15 minutes
3Instructs clients when to return5 minutes
4Refer complaint to higher authority15 - 20 minutes
5Provides Memorandum for Rural Sanitary Inspector to schedule ocular inspection10 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
6Schedules visit for data gathering and ocular inspection5 minutesMerla A. Indencia
Sanitary Inspector I
7Actual ocular inspection5 hours
8Preparation of report1 – 2 hours
9Notation of report10 minutesMa. Eva D. Pacificador,MD.
Municipal Health Officer
10Releases Document5 minutesMerla A. Indencia
Sanitary Inspector I