CITIZENS CHARTER OF SURIGAO CITY HEALTH OFFICE

GUIDE OF AVAILING OUR SERVICES

SERVICES:
a. Availing out-patient consultation
b. Availing of Medico Legal Services
c. Securing Medical Certificate
d. Availing Clinic Laboratory Services
e. Availing of Environmental Health and Sanitation Services
f. Availing of Maternal and Child Care Services

SERVICE TITLE
AVAILING OF OUT-PATIENT SERVICES (MEDICAL AND DENTAL)

ABOUT THE SERVICE

Out-patient services consist of Medical and Dental services given to any person/individuals
seeking treatment and attention on the following areas:
1.Medical Consultations:
a. Visual Health Services
b. Leprosy Prevention and Disease Control Services
c. Rabbies Prevention Services
d. Schistosomiasis Disease Control Services
e. Tuberculosis Control Services
f. Sexually transmitted Infections Control Services
g. Mosquito Borne Disease Control Services
h. Mental Health Services
i. Acute Respiratory Infection Control Services
j. Diarrheal Disease Control Services

2.Dental Consultations:
a.Tooth Extraction
b.Oral Prophylaxis
c.Tooth Filling

REQUIREMENTS:
Individual Treatment Record ( optional for new clients )
Referral ( optional )

FEE (S)
None for Medical Consultations
Dental Services:
a.Tooth Extraction - P 150.00
b.Oral Prophylaxis - P 150.00
c.Tooth Filling - P 150.00 (permanent) 100.00 (temporary)
HOW TO AVAIL OF THE SERVICE
MEDICAL SERVICES
FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Go to the front desk and ask for a
Priority number then wait for your turn 30 minutes Front Desk Personnel
and wait for your vital signs taken. When
your name is called, go to the physician
for examination.

AVAILING OF MEDICO LEGAL SERVICES

ABOUT THE SERVICE
Medico legal services the Components of Health Department given to clients seeking legal
proceedings and other related needs. This include violence against Women and Children (VAWC)
related cases.

REQUIREMENT (S)
Medico Legal Examination request form Police Department

FEE (S)
Certification Fee - P100.00
VAWC Clients - (free)

HOW TO AVAIL OF THE SERVICE

FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask for a
priority number then wait for your turn 30 minutes Nurse on Duty
to have your vital signs.
2.If priority number is called, go to
the examination room for consultation 20 minutes Nurse on Duty
prescription (if necessary) and issuance ( longer to rape cases)
of certificates by doctor.

SECURING MEDICAL CERTIFICATE

ABOUT THE SERVICE
Medical Certificate is a document stating the result of a satisfactory medical examination; it
is likewise a doctors certificate giving evidence of person’s fitness for work.

REQUIREMENT (S)
EXAMINATION REQUEST (OPTIONAL)

FEE (S)
Certification Fee - P150.00

HOW TO AVAIL OF THE SERVICE

FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask for
a priority number then wait for your 30 minutes Nurse on Duty
turn to have your vital signs taken.
2.If priority number is called, go to
the examination room for consultation, 10 minutes Physician on Duty
prescription (if necessary) and issuance
of certificates by doctor.
3.Pay corresponding fee and claim certi-
ficate at the City Health Administration 3 minutes CHO Revenue
office Collector
AVAILING CLINICAL LABORATORY SERVICES
ABOUT THE SERVICE
The Clinical Laboratory takes charge of laboratory support to the clinicians in the Diagnosis
and Treatment of patients. The Laboratory shall undertake examinations of blood, stool, urine,
sputum and other body fluids or tissues with the available sections in the laboratory like Clinical
Microscopy, Hermatology and Microbiology.

REQUIREMENT(S)
Laboratory examinations Request form Physician
FEE (S)
Complete Blood count 80.00 Platelet Count 70.00
Hematocrit 80.00 Hemoglobin 70.00
Blood smear for malania 40.00 Blood typing 60.00
Fasting Blood Sugar 80.00 Creatinine 70.00
Blood Urea Nitrogen 600.00 Blood Uric acid 70.00
Total Cholesterol 80.00 HDL Cholesterol 150.00
Triglycerides 100.00 Lipid Profile 450.00
Urinalysis 30.00 Fecalysis 70.00
Gram staining 80.00 Pregnancy-test 150.00
Sputum Examination Free Kato katz examination Free

HOW TO AVAIL OF THE SERVICE

FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask for 2 minutes Front desk Personnel
directions to the laboratory sec-
tion.
2.Give your examination request
slip to laboratory technician on 10 minutes Laboratory technician
duty submit spicemen if available.
3.Pay corresponding fee(s) at 3 minutes CHO Revenue Collector
the City Health Office Revenue
Collector, then present official
receipt to laboratory personnel.
4.Wait for release of Laboratory (release time of labora- CHO Revenue collector
results. tory results may vary depen-
ding on type of laboratory
sevice requested)
HOW TO AVAIL OF THE SERVICE
1.Sanitation Permit and Health Certificate
FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask for 3 minutes Information Personnel
direction to the sanitation division.
2.Present application form and 5 minutes Sanitation Personnel
documentary requirements on duty
to the Sanitation Division.
3.Undergo stool and sputum Laboratory Technician
Examination. (See steps for or Personnel on duty
availing laboratory services.)
4.Office for payment of correspon- 3 minutes CHO Revenue Collector
Ding fees.
5.Claims and bring laboratory results 2 minutes Medical Officer on Duty
to Medical Officer on duty for
approval.
6.Return to Saniation Division, 1 minute Sanitation Personnel on
Present official receipt and claim duty
Certificate.

2.Exhumation Permit
FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask 3 minutes Information Personnel
to the directed to the Sanitation
division.
2.Present application form and
documentary requirements 9 minutes Sanitation Personnel on to
the Sanitation Division and Fill Duty
up examination permit
3.Go to the CHO Administration 3 minutes CHO Revenue Collector
Office for payment of corres-
Ponding fee.
4.Return to the Sanitation 3 minutes Sanitation Personnel on
Division present official duty
Receipt and claim.

3.Desludging Permit
FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask 3 minutes Information Personnel
to be directed to the Sanitation
division.
2.Present application form and 5 minutes Sanitation Personnel
Documentary requirements on duty
to the Sanitation Division.
3.Go to the CHO Administration 3 minutes CHO Revenue Collector
Office for payment for correspond-
ding fee.
4.Return to Sanitation Division 1 minute Sanitation Personnel on
Present official receipt and duty
claim permit.
4.Pursuing a Sanitation Related Complaint
FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APPROACH
1.Approach front desk and ask 3 minutes Information Personnel
to be directed to the Sanitation
division.
2.Convey complaint either written 5 minutes Sanitation Personnel
or verbal.
3.Wait for delivery of Sanitation 3 minutes Sanitation Personnel
Inspection report by Sanitation
Officer on address given.

FEE (S)
Sanitation Permit Fee P200.00
Sanitation Inspection Fee P100.00
Health Certificate Fee P50.00
Stool Examination Fee P30.00
Exhumation Permit Fee P200.00
Desluding Permit Fee P50.00
AVAILING OF MATERNAL AND CHILD HEALTH CARE SERVICES
ABOUT THE SERVICE
Maternal and Child health care services is a major health care mechanism that aims to
promote the comprehensive maternal care program for pregnant and lactating mothers, including
the infant care programs.

REQUIREMENTS

1.Maternal Care/ family Planning

 Individual Treatment Record (ITR-optional for new clients)
 Home Based Maternity Record (HBMP)
2.Child Care
 Individual Treatment Record (ITR-optional for new clients)
 Early childhood Care and Development Card

FEE (S)
Applicable fees for Laboratory Services ( see page 21 )

HOW TO AVAIL OF THE SERVICE

Maternal Care Services (Pre and Post Natal Consultations)
Family Planning Services
Child Care Services
FOLLOW THESE STEPS IT WILL TAKE YOU PLEASE APOPROACH
1.Procced to Out-patient/ 3 minutes Information Personnel
Dispensary Admitting Section
and ask for priority number then
wait for your turn.
2.To be interviewed and priority (depending on the Physician on duty
number is called proceed to number of patients
prenatal Room for abdominal waiting)
examination and of to the doctors
room for assessment and prescription.