Dear Patient Partner,
We are committed to provide safe, quality and holistic healthcare services amidst the pandemic.
This Online Screening Tool will help us assist you as we strive to give you a hassle-free and comfortable visit at The Medical City South Luzon.
Make sure to fill-out this Online Screening Form before your scheduled appointment and secure a printed or screenshot copy together with a valid ID when you go for your visit.
We will be pleased to welcome and serve you here at The Medical City South Luzon, your home in the new normal.
CONSENT
By filling up this form, I confirm that:
I have been informed that The Medical City South Luzon is undertaking these measures to ensure that the well-being and protection of everyone, myself included, is prioritized. I understand that data about COVID-19 is constantly changing and despite the diligent efforts of The Medical City South Luzon to minimize transmission, there is still a risk of acquiring the infection.
The information I have provided are TRUE and CORRECT and I am aware that any untruthful statements I make may have serious consequences on public health and safety for which I may be held liable under the law.
For any of your questions and concerns, please call (049)-303-3000.
I agree to the statement above