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Click ‘Get Form’ to open the philhealth cf1 form in the editor.
Begin with Part I - Member Information. Fill in your PhilHealth Identification Number (PIN), name, date of birth, and mailing address. Ensure all details are accurate and written in capital letters.
Indicate your sex and provide contact information including landline, mobile number, and email address. If you are not the patient, select 'No' to proceed to Part II.
In Part II - Patient Information, complete the fields for the dependent's PIN, name, date of birth, and relationship to the member. Again, ensure accuracy.
Proceed to Part III - Member Certification. Sign over your printed name and date it. If you are signing on behalf of someone else, indicate your relationship and reason for signing.
For employed members, fill out Part IV - Employer’s Certification with your employer's PhilHealth Employer Number (PEN) and business name. Ensure your employer signs this section.
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