HMO Pre-Approval

We are accredited with 15 providers. Send your details ahead and we will clear your coverage before you arrive — no queueing at the counter while paperwork is sorted.

This form needs JavaScript. Please call us at+63 935 315 3616with your HMO details and we will arrange your pre-approval over the phone.

Your details

First name

Last name

Mobile number

Philippine number, e.g. 0917 123 4567

Email address (optional)

Sex (optional)

Date of birth (optional)

Helps your provider match your record.

Your coverage

HMO or insurer

Member / card number

As printed on your HMO card.

Preferred date

Mon–Sat. Closed Sundays.

Preferred time

Saturdays close at 12:00 NN.

Diagnosis or tests requested (optional)

Copy what your doctor wrote, if you have it. This is what your provider approves against.

Supporting documents

All optional — send what you have and we can collect the rest at the clinic. Attaching them now is usually the difference between approval today and approval tomorrow. JPG, PNG, WEBP or PDF, up to 5 MB each.

Valid government ID (optional)

Any government-issued ID showing your name and photo.

HMO card (optional)

Front of the card, showing your member number.

Doctor's request (optional)

The lab request or prescription from your doctor.

Documents are stored privately and are only visible to our staff handling your request. They are never published or shared beyond your provider.

We use your details only to arrange this visit and to coordinate with your provider. See our Privacy Policy.

Paying out of pocket? Book a regular appointment instead.

Pre-approval request sent

HMO Pre-Approval