Dear Sir/ Madam,

Good day!

We received your email regarding intent to affiliate to Intellicare and Avega.

Please see list of requirements you need to submit for our review and evaluation:

1. Letter of intent addressed to Dr. Gerardo J. Jiao, MBAH, Chief Medical

Director
2. Hospital Profile
3. List of all services offered with rates (in excel file)
4. APE/ ECU Packages with rates if available
5. BIR Certificate
6. DOH License
7. DTI/SEC Registration
8. Business Permit
9. List of Doctors
10. Pictures of the Clinic
11. Location Map
Kindly send soft copy and hardcopy  to; 

angelo.lopez@intellicare.com.ph
Mr. Angelo Lopez - Medical Compliance Department
7th Floor, Feliza Building, 108 V.A Rufino Street, Legaspi Village, Makati City 1229

Thank you and best regards,

Novilyn J. Abapo
Medical Network Officer  l  Medical Relations
Medical Group