Republic of the Philippines

Department of Health
Regional Office - 10
NORTHERN MINDANAO MEDICAL CENTER
Capitol Compound, Cagayan de Oro City

CITIZEN’S CHARTER

Department/Section/Unit: HEALTH INFORMATION MANAGMENT SERVICE

Process: ISSUANCE OF MEDICAL CERTIFICATE

Schedule of Availability Services: MONDAY TO FRIDAY, 7:00AM to 5:00PM

Services Provided to: PATIENT OF LEGAL AGE OR AUTHORIZED REPRESENTATIVE

PARENTS OF MINOR PATIENT

Requirement/s Needed: 1. APPOINTMENT CARD

2. PATIENT VALID IDENTIFICATION CARD
3. FOR AUTHORIZED REPRESENTATIVE: ‐
‐ AUTHORIZATION LETTER/SPECIAL POWER OF ATTORNEY/ AFFIDAVIT
FROM PUBLIC ATTORNEY’S OFFICE
‐ PHOTO OF REPRESENTATIVE’S VALID ID
‐ PHOTOCOPY OF PATIENT’S VALID ID
‐ AFFIDAVIT OF DESISTANCE DULY PRESCRIBED AND SWORN BY
LAWYER FOR MEDICO LEGAL
4. OFFICIAL RECEIPT OF PAYMENT

Duration: 5 HOURS

Procedure:
Person Maximum Time Documents
No. Step‐by‐Step Procedure Fees
Responsible to be Concluded Required
1 Proceed to Filing and Retrieval Unit HIMS 5 minutes Appointment None
Receiving Window. Patient submits Clerk/HIMS Card,
complete requirements and presents Liaison Patient Valid
appointment card. Patient gets priority ID,
number and charge slip. For
(Modto sa Filing and Retrieval Unit Authorized
Receiving Window. Ihatag sa pasyente Representati
ang kumpleto nga requirements ug ve:
ipresenta angappointment kard. Authorization
Magkuha ang pasyente sa priority Letter/SPA/A
number ug charge slip.) ffidavit from
PAO,
Photocopy of
Representati
ve’s Valid ID,
Photocopy of
Patient’s
Valid ID,
Affidavit of
Desistance
Duly
Prescribed
and Sworn by
Lawyer for
 Medico
Legal,Official
Receipt of
PaymentChe
cklist of
Requirement
s, Priority
Number,
Charge Slip
2 Patient pays medical certificate fee Cashier 3 minutes Charge Slip Record and
except for VAWC case. School
(Magbayadang pasyente sa medical Purposes,
certificate fee gawas sa VAWC ang Leave of
kaso.) Absence,
Financial/
Medical
Assistance‐
Php30.00,
Medico‐
Legal‐
Php100.00,
Insurance‐
Php100.00
3 Patient waits in the waiting area while None
the HIMS clerk:

Logs patient’s data in the hospital HIMS Clerk 2 minutes Health

system. Record,
Official
Retrieves patient’s health record. Retrieving 10 minutes Receipt of
Clerk Payment,
Request Slip,
Logs patient’s data in the hospital HIMS Clerk 2 minutes Claim Slip
system for monitoring of retrieval time.

Issues claim slip and endorses health HIMS Liaison 20 minutes

record with official receipt number
written in the request slip to 4th Floor
Medical Records for processing of
medical certificate.

For VAWC case, endorses health record

to Women and Child Protection Unit
for processing of medical certificate.

(Maghulat ang pasyente sa waiting

area samtang angHIMS clerk:
Nag‐log sa impormasyon sa
pasyentesasistema sa hospital.Nangita
sa rekord sa pasyente.Nag‐log sa
impormasyon sa pasyente sa sistema sa
hospital para mamonitor ang oras sa
pagpangita.
Nag‐hatag sa claim slip ug i‐endorso
ang rekord sa pasyente nga naay
official receipt number nga nakasulat
sa request slip didto sa 4th Floor
 Medical Records para iproseso ang
medical certificate.

Para sa pasyente nga VAWC ang kaso,

i‐endorso ang rekord sa pasyente sa
Women and Child Protection Unit para
iproseso ang medical certificate.)
4 Proceed to 4th Floor Medical Records or
to Women and Child Protection Unit
for VAWC patient and wait for the
releasing of medical certificate while
the HIMS clerk/Women and Child
Protection Unit staff:
Processes, transcribes and prints HIMS 10 minutes Health
medical certificate. Transcriptionist Record,
Request Slip None
Routes medical certificate for signature HIMS Liaison 4 hours and 8
of attending physician. minutes

(Diretso sa 4th Floor Medical Records o

sa Women and Child Protection Unit
kung ang pasyente VAWC ang kaso ug
maghulat sa paghatag sa medical
certificate samtang ang HIMS clerk/
Women and Child Protection Unit staff:
Ngproseso, nag‐transcribe ug nagprinta
samedical certificate.Nagpapirma sa
medical certificate sa mga nag‐atiman
nga doktor.)
5 Claims medical certificate. HIMS Clerk/ 5 minutes Claim Slip None
(Pagkuha sa medical certificate.) Women and
Child
Protection Unit
Staff
END OF TRANSACTION
(Humana ang Transaksyon)
For complaints:
Please look for the Hospital Complaints Officer, Mr. Jun Paulo M. Estabillo, at 4th Floor Main Building, Medical
Center Chief’s Office (088) 856‐4147 local 607 or fill up the Hospital Complaints Form provided at the Public
Assistance and Complaints Desk (PACD). You may also text the Contact Center ng Bayan (CCB) 09088816565 or call
1‐6565* or log on to www.contactcenterngbayan.gov.ph, or www.facebook.com/contactcenterngbayan.