WHEREAS, all admitted patients in the Hospital are under the direct care of resident

physicians who are, in turn, under the direct supervision of the different Medical Specialists;
WHEREAS, the Hospital recognizes the inviolable right of every patient confined in its Pay
Ward/Private Room to contract and engage the services of any hospital-accredited Medical Specialist
of their choice;
WHEREAS, the Hospital equally recognizes that it has the moral, ethical and legal
responsibility to safeguard that the professional relationships between the patients and the Medical
Specialists would not be detrimental to the interests of the parties, the Hospital and its staff;
WHEREAS, the Medical Specialist has agreed to render service in the Hospital as a
Visiting/Part Time/Full
1. e drugs and medicines that are available in the Hospital’s pharmacy.
2. The Medical Specialist shall abide by, and comply with, all the rules, norms, policies and
regulations of the Department in which he belongs and of the Hospital in areas such as, but
not limited to, the use of all its staff and personnel including its facilities, equipment and
offices. The Medical Specialist shall also be under the supervision of the Department Chair
where his/her specialization falls.

3. The Medical Specialist shall fully and in plain language explain to the patient and/or his
immediate relatives, the terms and conditions of his professional contract. In emergency
cases, all measures must first be exhausted and the patient stabilized before any discussion
on the
If the conflict is not resolved at the Committee’s level, the Medical Chief shall have the
right to resolve all conflicts regarding professional fees and hospital bills and his decision
shall be final.

4. Patients with insurance benefits/HMO privileges shall shoulder all bills in excess of these
benefits/privileges.
5. Any patient who signifies his/her intention to transfer from the Pay Ward/Private Room to
the charity ward shall be allowed to do so, provided;
a. It is not on the day of discharge.
b. He/she settles all bills before transfer
c. He/she undergoes proper patient re-classification following Administrative Order No.
51-A, The SECOND PARTY shall not, whether during the effectivity of this contract or
after its termination for whatever reason, use, disclose or distribute to any person or
entity, any confidential information both of the patient and the FIRST PARTY,
messages and other data obtained by the SECOND PARTY during the contractual
employment without prior written consent of the FIRST PARTY;
6. In the event that the facts and circumstances arise or are discovered which render this
contract unfavorable to the government, the parties hereto agree that the FIRST PARTY has
the right to terminate the same.
7. Any disputes between the parties relative to the enforcement of the terms and conditions of
the contract, the same shall as far as practicable be settled amicably. In case the parties will
fail to settle amicably and litigation will arise, the parties herein agree that the same shall be
exclusively filed before a court of competent jurisdiction in the City of Bacolod only to the
exclusion of other courts.

IN WITNESS WHEREOF, we have set our signatures this ______ day of

_____________________, 20____ in Bacolod City, Philippines.

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JULIUS M. DRILON
CECILIA P. LABRA

known to me and to me known to be he same persons who executed the foregoing

Memorandum of Agreement and who acknowledged to me that the same is their free and
voluntary act and deed.

This document consists of four (4) pages including this page of which the
acknowledgment is written, and is signed by the parties on each and every page and by their
instrumental witnesses on the left hand margin of each page.

WITNESS MY HAND AND SEAL on the date and place first above-written.

________________________
Notary Public

Doc No. __________

Page No. __________
Book No. __________
Series of 20 ________

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