Medical - Dental Services
internal services

To attend to the medical needs of the Iloilo Provincial Government employees, their immediate dependents.

Office or Division: Medical - Dental Services Clinic
Classification: Highly Technical
Type of Transaction: G2G – Government to Government, G2C – Government to Citizens
Who May Avail: Employees of the Iloilo Provincial Government and their dependents
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
1. Personal Appearance  
CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE
1. Approach clinic staff and request for medical consultation 1.1 Fill up medical chart for new patient & Retrieve medical chart for old patient. None 10 Minutes Nurse/Nursing Aide/ Administrative. Aide
  1.2 Interview patient and get vital signs None 10 Minutes
Nursing Aide or Nurse
2. Go to waiting area and wait for name to be called 2.1 Call, consult and manage patient  None 30 Minutes Medical Officer IV
  2.2 If applicable, issue an order of payment and instruct patient to pay at Bayad Center None 5 Minutes Medical Officer IV or Nurse
3. Present O.R. to Clinic Staff 3.1 Record O.R. # in Logbook None 5 Minutes Nurse
TOTAL NONE

1 Hour

To attend to the dental needs of the Iloilo Provincial Government employees, their immediate dependents.

Office or Division: Medical - Dental Services Clinic
Classification: Highly Technical
Type of Transaction: G2G – Government to Government, G2C – Government to Citizens
Who May Avail: Employees of the Iloilo Provincial Government and their dependents
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
1. Personal Appearance  
CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE
1. Approach clinic staff and request for dental consultation 1.1 Fill up dental chart for new patient & Retrieve dental chart for old patient. None 8 Minutes Dentist or Dental Aide
  1.2 Instruct patient to wait for his/her turn None 2 Minutes
Dentist or Dental Aide
2. Go to waiting area and wait for name to be called 2.1 Call, consult and manage patient  None 1 Hour Dentist II or Dentist III
  2.2 If applicable, issue an order of payment and instruct patient to pay at Bayad Center None (for employee, spouse, & children) 50% discount for other dependents 5 Minutes Dentist or Dental Aide
3. Present O.R. to Clinic Staff 3.1 Record O.R. # in Logbook 5 Minutes Dentist or Dental Aide
TOTAL NONE

1 Hour

20 Minutes

Note: Rates as per Provincial. Ordinance. No. 2017-145 otherwise known as the 2017 Revised Revenue Code of Iloilo

Issuance of Medical Certificate for Iloilo Provincial Government employees, their immediate dependents for whatever legal purpose it may serve.

Office or Division: Medical - Dental Services Clinic
Classification: Highly Technical
Type of Transaction: G2G – Government to Government, G2C – Government to Citizens
Who May Avail: Employees of the Iloilo Provincial Government and their dependents
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
1. For Employment :
  •Civil Service Form 211 – 3 copies
  •CBC, Urinalysis, Chest X-ray, Drug Test, Psychological Exam
  •Personal Appearance
Human Resource Management
Clinical Laboratory as the case may be.
2. For Sick Leave :
 • Civil Service Form 41 – 3 copies;
 • Medical Certificate from Attending M.D. – 1 original and 2 photocopies;
 • Application for Leave checked/countersigned by A.O. of office concerned;
If returning to work:
 • Fit to work medical certificate from attending M.D. stating date when employee is fit to return to work; documentary stamp.
Attending Physician
 
Administrative Officer of office concerned.
3. For Maternity Leave :
• Civil Service Form 41 – 3 copies;
• Medical Certificate from Attending OB-Gyn – original and 2 photocopies;
• Application for Leave checked/countersigned by A.O. of office concerned;
If returning to work:
• Fit to work medical certificate from attending OB-Gyn stating date when employee is fit to return to work; documentary stamp.
Attending Physician

Administrative Officer of office concerned.

4. For Monetization of Sick Leave Credits :
• Personal Appearance only.
5. For R.A. 9710 “Magna Carta for Women” :
• Civil Service Form 41 – 3 copies;
• Medical Certificate from Attending M.D. – original and 2 photocopies;
• Application for Leave checked/countersigned by A.O. of office concerned;
• Clinical Abstract from attending M.D. – original and 2 photocopies;
• Operative Report – original and 2 photocopies;
• Histopathological Report – 3 certified machine copies;
• Fit to Return to Work certificate from attending M.D. prior to returning to duty; documentary stamp.
Attending Physician

Administrative Officer of office concerned.

CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE
1. Approach clinic staff and request for medical certificate; submit required documents 1.1 Receive and check completeness of documents; retrieve patient's clinic chart and instruct client to wait near consultation room None 8 Minutes Nursing Aide/ Administrative. Aide
2. Go to waiting area and wait for name to be called 2.2 Check authenticity and completeness of documents; examine patient (for employment and monetization) prepare medical certificate;
2.3 Issue an order of payment if applicable and instruct client to pay at Bayad Center
None (for employee, spouse, & children) 50% discount for other dependents 20 Minutes Medical Officer IV
3. Present O.R. to Medical Officer (if applicable) 3.1 Sign and issue medical certificate; Receive and record O.R. Number. 5 Minutes Medical Officer IV
TOTAL NONE

33 Minutes

Note: Rates as per Provincial. Ordinance. No. 2017-145 otherwise known as the 2017 Revised Revenue Code of Iloilo

Iloilo Provincial Government employees, their immediate dependents

Office or Division: Medical - Dental Services Clinic
Classification: Highly Technical
Type of Transaction: G2G – Government to Government, G2C – Government to Citizens
Who May Avail: Employees of the Iloilo Provincial Government and their dependents
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
1. Personal Appearance Only  
CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE
1. Approach clinic staff and request for dental certificate 1.1 Retrieve dental chart of patient None 8 Minutes Dentist/ Dental Aide
2. Go to waiting area and wait for name to be called 1.2 Interview patient and get vital signwait for name to be called 2.2 Review dental record of patient, examine patient and make dental certificate;
2.3 If applicable, issue an order of payment & instruct patient to pay at Bayad Centers
None 12 Minutes
Dentist II/Dentist III
3. Present O.R. to Clinic Staff 3. Sign and issue dental certificate; Receive and record O.R. Number. None (for employee, spouse, & children) 50% discount for other dependents 5 Minutes Dentist II or Dentist III
TOTAL NONE

25 Minutes

Note: Rates as per Provincial. Ordinance. No. 2017-145 otherwise known as the 2017 Revised Revenue Code of Iloilo

Clinical Laboratory Services for the Iloilo Provincial Government employees, their immediate dependents.

Office or Division: Medical - Dental Services Clinic
Classification: Highly Technical
Type of Transaction: G2G – Government to Government, G2C – Government to Citizens
Who May Avail: Employees of the Iloilo Provincial Government and their dependents
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
1. Personal Appearance  
2. Laboratory Request  
CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE
1. Approach laboratory staff and present Laboratory Test Request 1.1 Verify patient identification & laboratory test availability; Collect blood sample/ check urine and/or stool specimen integrity and receive specimen; Assign schedule for blood extraction to client with request for Clinical Chemistry None 15 Minutes Medical Technologist or Laboratory Aide
  1.2 Perform laboratory examinations None 5 Hours
Medical Technologist or Laboratory Aide
1.3 Record Test Results on worksheet and logbooks None 15 Minutes Medical Technologist or/ Laboratory Aide
1.4 Prepare Test Result(s) None 15 minutes Medical Technologist
1.5 Issue Order of Payment if applicable None (for employee, spouse, & children) 50% discount for other dependents 5 minutes Medical Technologist or Laboratory Aide
2. Pay amount due to Cashier if applicable 2.1 Client proceeds to Bayad Center to pay the corresponding fees
3. Presents Official Receipt to Medical Technologist/ Laboratory Aide 3.1 Record Official Receipt Number and amount paid in Logbook 5 minutes Medical Technologist or Laboratory Aide
4. Claim Test Result(s) 4.1 Issue Test Result(s) 5 minutes Medical Technologist or Laboratory Aide
TOTAL NONE

6 Hours

Note: Rates as per Provincial. Ordinance. No. 2017-145 otherwise known as the 2017 Revised Revenue Code of Iloilo