Medical Forms & Procedures PDF

Test code FBS FBS (HEXOKINASE) -------- ------------------------ LIPID Lipid Profile CBCPLT Complete Blood Count NA Sodium (ISE) K Potassium (ISE) CREA Creatinine (ENZYMATIC) TVS Transvaginal WAB Whole Abdomen CXRPA Chest PA 2. Online HM...

Test code FBS FBS (HEXOKINASE) -------- ------------------------ LIPID Lipid Profile CBCPLT Complete Blood Count NA Sodium (ISE) K Potassium (ISE) CREA Creatinine (ENZYMATIC) TVS Transvaginal WAB Whole Abdomen CXRPA Chest PA 2. Online HMO Approval Complete the form below to process your HMO requests at least 2 days prior to your visit. Check here accredited HMOs You will be required to upload your valid ID, HMO card, and test request issued by an HMO accredited doctor with corresponding diagnosis. Unmatched details may result in delay of approval. We will contact you to verify some information if necessary. ​ Kindly note submission of this form should be at least 2 days before the scheduled date and that approved requests are only valid within 2 days from appointment date. You will receive a confirmation email once your request has been successfully received. Please bear in mind that you will receive another confirmation email or phone call from our staff once your booking and approval have been confirmed. 3. Pneumococcal Polysaccharide Vaccine (PPSV23) - 3,846.00 A DOCTOR\'S REQUEST IS REQUIRED TO AVAIL THE VACCINE ADMINISTRATION SERVICE. Please ensure you consult with a doctor before availing the vaccine administration service. Your doctor will assess whether you have any conditions or risk factors that may impact your suitability for vaccination, as certain medical conditions or medications may require special considerations or precautions before receiving a vaccine. If you do not have a personal doctor, HPD branches have doctors available for consultation. Please call your chosen branch to schedule an appointment. Vaccines are available on an order basis through our third-party provider, MACROHEALTH INC., with a tentative delivery time of 5 to 10 working days. Availing of the vaccine administration service is deemed final and is not eligible for refund or exchange unless the vaccine is defective or in poor condition. SENIOR/PWD DISCOUNT IS ONLY APPLICABLE FOR WALK-IN TRANSACTIONS. PLEASE BRING YOUR ID FOR VERIFICATION. \*In the purchase of goods and services which are on promotional discount, the senior citizen can avail of the promotional discount or the discount provided under the Expanded Senior Citizens Act of 2010, whichever is higher. 4. Dra. Bhayalih D. Chua Cabanatuan General Practitioner Mon - Sat: 6:30 AM - 1:00 PM Walk-In 5. Opening Spiel Thank you for calling Hi-Precision This is (agent name), May I have your name please? Closing Spiel Is there anything else I can help you with? Before we end this call pls be informed that you may also purchased our vaccine at www. hi - precision.com.ph Price Spiel May we ask your preferred branch to visit? Are you using a privilege card like senior/PWD? 6. Price of MRI for Del Monte Branch with senior? 7. Patient Preparations KIDNEY URINARY BLADDER - Full bladder is required prior the procedure. Routine Fecalysis - No patient preparation is required. - Note the date and time of collection on the sample container. - Collect the stool in a dry, clean, leak-proof container. Make sure no urine, water, soil, or other material gets in the container. - If you can't hand in the sample as soon as possible after collection at home, you may collect it inside the HPD facility instead. - Patients must give allowance for registration, encoding, and endorsement of samples. Samples cannot be processed without an encoded transaction. - **Watery/ Mucoid: (liquid with no solid pieces and/or may contain mucous):** Must be examined by the Laboratory within 30 minutes of passage. (Not within 30 minutes of arrival in the laboratory). - **Soft/Mushy: (Lacking any shape; spreads over the bottom of the stool container; having a texture that appears like hot cereal):** Must be examined by the Laboratory within 1 hour of passage. - **Semi-formed and Formed (having a hard or firm texture retaining a definite shape like a banana, cigar, or marble):**  Must be examined by the Laboratory within 24 hours of passage. - No fasting required. - Have blood taken 12 hours after last Lithium administration unless requested by referring doctor to be extracted on a different time. Price of Urine culture & Sensitivity with taking antibiotics under Del monte Branch - 2200.00