General Practitioner/ Dentist

14 downloads 147 Views 33KB Size Report
General Practitioner/ Dentist. INITIAL / REACCREDITATION ... Certificate of Good Standing from the Philippine Specialty Society. Important: Applications not ...
General Practitioner/ Dentist INITIAL / REACCREDITATION REQUIREMENTS 1. 2. 3. 4. 5.

Application Form (properly & completely filled up & notarized) ID picture (2 pcs. 1x1, name printed at the back) Accreditation Fee (P1000) PRC ID (updated, photocopy) PMA/PDA card (updated, photocopy) or certificate of good standing from PMA or local component society

-if life member, certificate of good standing from PMA or local component society is still necessary 6. TIN card/ W2 indicating TIN # (photocopy) 7. PhilHealth Identification Card/ Form M1b with assigned PIN (photocopy) 8. Validated MI-5/ RF-1 Important: Applications not completely filled up &/or lacking in requirement/s shall be returned without any action.

Medical Specialist INITIAL/ REACCREDITATION/ UPGRADING REQUIREMENTS

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Application Form (properly & completely filled up & notarized) ID picture (2 pcs 1x1, name printed at the back) Accreditation Fee (P1500) PRC ID (updated, photocopy) PMA/PDA card (updated, photocopy) or certificate of good standing from PMA or local component society -if life member, certificate of good standing from PMA or local component society is necessary TIN card/ W2 indicating TIN # (photocopy) PhilHealth Identification Card/ Form M1b with assigned PIN (photocopy); and Validated MI-5/ RF-1 Specialty Board Certificate as Diplomate/ Fellow issued by Philippine Specialty Board Certificate of Good Standing from the Philippine Specialty Society

Important: Applications not completely filled up &/or lacking in requirement/s shall be returned without any action.

General Practitioner/ Dentist RENEWAL REQUIREMENTS 1. 2. 3. 4. 5. 6. 7.

Application Form (properly & completely filled up & notarized) Old Accreditation ID (photocopy) ID picture (2 pcs. 1x1, name printed at the back) Accreditation Fee (P1000) Validated MI-5/ RF-1 PRC ID (updated, photocopy) PMA/PDA card (updated, photocopy) or certificate of good standing from PMA or local component society

-if life member, certificate of good standing. from PMA or local component society is still necessary Note: If a new TIN # is issued by BIR, a copy of new TIN card should be submitted to avoid problems in claims processing. Important: Applications not completely filled up &/or lacking in requirement/s shall be returned without any action.

Medical Specialist RENEWAL REQUIREMENTS 1. 2. 3. 4. 5. 6. 7.

Application Form (properly & completely filled up & notarized) Old Accreditation ID (photocopy) ID picture (2 pcs 1x1, name printed at the back) Accreditation Fee (P1500) Validated MI-5/ RF-1 PRC ID (updated, photocopy) PMA/PDA card (updated, photocopy) or certificate of good standing from PMA or local component society -if life member, must be submitted with good standing cert. from PMA or local component society is still necessary 8. Certificate of Good Standing from the Philippine Specialty Society Note: If a new TIN # is issued by BIR, a copy of new TIN card should be submitted to avoid problems in claims processing. Important: Applications not completely filled up &/or lacking in requirement/s shall be returned without any action.