Cf3 form philhealth 2026

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The document is a claim form for health care providers, specifically designed for patient clinical records and maternity care packages. It includes sections for patient information, admission and discharge details, medical history, physical examination findings, laboratory results, and maternity care specifics such as prenatal consultations and delivery outcomes. The form emphasizes the importance of accurate documentation by requiring certification from the attending physician or midwife.

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Click ‘Get Form’ to open the cf3 form in the editor.
Begin with Part I - Patient's Clinical Record. Fill in the PhilHealth Accreditation No. and the patient's full name, including last, first, and middle names.
Provide details for the Chief Complaint/Reason for Admission, along with the Date and Time Admitted. Ensure accuracy in month, day, and year formats.
Complete the Date and Time Discharged fields similarly. Include a brief history of present illness and pertinent physical examination findings.
In Part II - Maternity Care Package, document initial prenatal consultation details, clinical history, obstetric risk factors, and delivery plans as required.
Finally, ensure all sections are filled out accurately before saving your work. Utilize our platform’s features to sign and distribute the completed form easily.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (53 Votes)
2010	4 Satisfied (47 Votes)

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Where can I get CF1 and CF2?

Where can I get CF1 and CF2? CF1 is a ducoment that needs to be requested directly from your companys HR with an attachment of certificate of contribution and you should submit it to the Hospitals billing department along with the cf2. CF2 is coming from your attending physician.

What is CF-1 form of PhilHealth?

This is to docHub that all monthly premium contributions for and in behalf of the member, while employed in this company, including the applicable three (3) monthly premium contributions within the past six (6) months period prior to the first day of this confinement, have been deducted/collected and remitted to

What is CF2 PhilHealth?

Claim Form 2 (CF2) shall be accomplished and submitted for ALL claim applications except for confinement abroad. 2. CF2 shall be accomplished using capital letters and by checking the appropriate boxes. All items should be marked legibly by using ballpen only. 3.

What is CF1 in PhilHealth?

Claim Form 1 (CF1) CF1 is divided into two parts: Part I - Member and Patient Information requires information about the member and patient to ascertain the identity of the member/patient/dependent for eligibility to PhilHealth benefits. Part II - Employers Certification. (for employed members only)

How to qualify for PhilHealth maternity package?

How To Avail These Benefits? For Employed members, the requirement is at least three months of contributions within the 6 months immediately before availment. For Individually Paying members, a total of 9 months contributions must be made within the 12 months prior to availing it.

cf3 form download

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What is CF2 in PhilHealth?

What is the difference between CF1 and CF2?

CF1 Claim Form 1: Accomplished and originally signed by member and employer. CF2 Claim Form 2: Accomplished and originally signed by Attending Physician, Surgeon, Anaesthesiologist and patient or next of kin if patient is unable to sign.