30. OUT-PATIENT BASIC, PREVENTIVE AND CURATIVE SERVICES

Office:MUNICIPAL HEALTH OFFICER
Classification:SIMPLE
Type of Transactions:G2C – Government to Citizen
Who may avail:GENERAL PUBLIC
CHECKLIST OF REQUIREMENTSWHERE TO SECURE
Referral SlipBarangay Health Worker (if any)
Submits referral slip (if any)Receives and
evaluate referral
slip/Interview
patient

First level
Assessment

Second level
Assessment

2 minutes



15 to 30minutes


15 to 30 minutes

Midwife
(Triage)


Midwife


Mun. Health
Officer
Pays fee to the
Municipal Treasurer’s
Office		Issues Official
Receipt		 P100.00Cashier/Teller
Receives medicineTreatment and
dispensing of
medicine (if any)

31. APPLICATION OF HEALTH/MEDICAL CERTIFICATE

Office:MUNICIPAL HEALTH OFFICER
Classification:SIMPLE
Type of Transactions:G2C – Government to Citizen
Who may avail:GENERAL PUBLIC
CHECKLIST OF REQUIREMENTSWHERE TO SECURE
Official ReceiptTreasurer’s Office
Submits accomplished
request form		Receives form
and interview
client

First level
Assessment		2 minutes



15 to 30
minutes		Midwife
(Triage)


Midwife
Pays Medical CertificateReceives Official
Receipt and
prepares
Medical
Certificate		P200.0010 minutesMidwife
Forward to MHO
for evaluation
and signature		5 minutesMHO
Receives Medical
Certificate		Release of
Medical
Certificate		1 minuteMidwife

32. APPLICATION FOR SANITARY PERMIT TO OPERATE

Office:MUNICIPAL HEALTH OFFICER
Classification:SIMPLE
Type of Transactions:G2C – Government to Citizen
Who may avail:GENERAL PUBLIC
CHECKLIST OF REQUIREMENTSWHERE TO SECURE
Application Form for sanitary inspectionMunicipal Health Office
Submits application formReceives duly
application form
and interview
client


Conduct
sanitation
inspection to the
area		2 minutes





Within 7
days		Sanitation
Inspector




Sanitation
Inspector
Pays amount duePrepares
Sanitary Permit
to Operate











Forward to MHO
for evaluation, approval and signature		a. House for
Ren: 500.00
b. For each business,
industrial, or
agricultural
establishment:
-With an area of 25sq.m
or more But less than
50sq.m -250.00
-With an are of
50sq.m or more But
less than 100sq.m -350.00
-With an are of 100sq.m or
more But less than
200sq.m -500.00
-With an are of 200sq.m or
more But less than
500sq.m -650.00
-With an area of 500sq.m
or more But less than
1000sq.m -800.00
-With an area of 1000sq.m
or more -1,000.00 		10 minutes












5 minutes 		Sanitation
Inspector











MHO
Receives documentRecord and
release of
document		1 minuteSanitation
Inspector

33. APPLICATION FOR LABORATORY SERVICES

Office:MUNICIPAL HEALTH OFFICER
Classification:SIMPLE
Type of Transactions:G2C – Government to Citizen
Who may avail:GENERAL PUBLIC
CHECKLIST OF REQUIREMENTSWHERE TO SECURE
Accomplished request form
Official Receipt		Municipal Health Office
Treasurer’s Office
Submits accomplished
request form		Receives duly
accomplished
form and
interview client

Gives order of
payment

Submits
specimen for
laboratory
examination
duly labelled		2 minutesMedical
Technologist
Pays amount due
to the Treasurer’s
Office		Issues Official
Receipt		P200.002 minutesCashier/Teller
Wait for
laboratory
examination		1 hour to
1 day
Receives
laboratory result		Release
laboratory
result