Republic of the Philippines

CITY HEALTH OFFICE

Legazpi City

CITIZEN’S CHARTER

FRONTLINE SERVICES/ AVAILABILITY OF SUCH SERVICES STEP-BY-STEP PROCEDURE OFFICER/ EMPLOYEE RESPONSIBLE MAXIMUM TIME OF TRANSACTION DOCUMENTS TO BE PRESENTED BY CLIENT AMOUNT OF FEES
I. PREPARATION OF MEDICAL CERTIFICATE 1. Client presents Official Receipt (OR) and other supporting documents at the receiving desk. Delia A. Venus

Celita C. Monforte

Evelyn R. Borqueza
1 minute Applicants for:
1. Driver’s License:

– O.R. from the City Treasurer’s Office

2. For Enrollment/Scholarship:
– Complete Blood Count
– Urinalysis
– Chest X-Ray

3. For Employment
(Private & Government-teacher, PNP)

4. For Reinstatement
– Complete Blood Count
– Urinalysis
– Fecalysis
– Chest X-Ray
– ECG
-Recent Drug Test

5. For Training of Employee/PNP/BFP
– Complete Blood Count
– Urinalysis
– Fecalysis
– Chest X-Ray
– Recent Drug Test

6. For Absence for Work/Job
4.1 record of consultation from CHO
4.2 recent check-up

7. Security Guard
– Complete Blood Count
– Urinalysis
– Chest X-Ray
– Recent Drug Test
– NeuroPsychiatric Test

8. For Reference – Medical Certificate/Assistance for NGOs:
– Certification of Indigency from the Barangay
Regular:
P50.00

Student:
P30.00

































None
2. Reviewing of presented documents & recording of O.R with corresponding amount in the logbook. Delia A. Venus

Celita C. Monforte

Evelyn Broqueza
2 minutes
3. Client undergoes blood presure check & eye visual acuity test. Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Marilyn B. Arimado

Loida P. Arevalo

Elvira F. Belen

Delia N. Bernal

Cristina A. Bobadilla

Soledad G. Carretero

Carmen M. Lana

Gemma A. Lodor

Marichu D. Mangampo

Fe A. Marchan

Gina A. Orinoco
4 minutes
4. Preparation of Medical Certificate & recording of results in the form & client proceeds to Medical Div. Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Marilyn B. Arimado

Loida P. Arevalo

Elvira F. Belen

Delia N. Bernal

Cristina A. Bobadilla

Soledad G. Carretero

Carmen M. Lana

Gemma A. Lodor

Marichu D. Mangampo

Fe A. Marchan

Gina A. Orinoco
2 minutes
5. Assessment of documents presented & conduct of physical examination. Dr. Fulbert Alec R. Gillego

Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez
5 minutes
6. Signing of Medical Certificate (if with adverse findings, prescribes medicines and recommendeds appropriate laboratory tests & possible referral) Dr. Fulbert Alec R. Gillego

Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez
5 minutes
II. PREPARATION OF DEATH CERTIFICATE 1. Client presents documents for review. Delia A. Venus

Celita C. Monforte

Evelyn R. Borqueza
2 minutes For Death at Home or Community:
– Certification from Brgy Captain certifying the person died in the said brgy. Deceased full name (including extension, Jr, Sr, II, etc) & exact time of death, age, civil status

For Death Considered as Dead-On-Arrival(DOA):
– Certification of DOA issued by concerned hospital

For Death due to Accident:
-Autopsy Report

For Death in a hospital:
– Concerned hospital issues the Death Certificate
– Review to be done by the City Health Officer/Med. Officers
2. Client fills-up information sheet 5 minutes
3. Preparation of Death Certificate (client reviews the prepared death certificate Admin. Aide III, Admin. Officer IV, Admin. Staff Designate 3 minutes
4. Conduct of interview to the informant/client/relative of the deceased for the cause of death. City Health Officer, Medical Officer V, III, II 3 minutes
5. Admin. Staff records the cause of death on the death certificate form & client instructed to secure signature of licensed embalmer Admin. Aide II, Admin. Staff Designate 1 minutes
6. Client instructed to pay fees at the City Treasurer’s Office (CTO) CTO Personnel 3 minutes P 60.00
7. Recording of O.R. at the CHO & client is instructed to register the Death Certificate at the Office of the City Civil Registry Admin. Aide III, Admin. Staff Designate 2 minutes Official Receipt
III. PREPARATION OF TRANSFER PERMIT: 1. CHO staff ask for the requirements Delia A. Venus

Celita C. Monforte

Evelyn R. Borqueza
1 minutes a.) Official Receipt
b.) Death Certificate
P 60.00
2. Preparation of Transfer Permit 2 minutes
3. Client proceeds to Medical Div. for the signing of Transfer Permit Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez
1 minutes
IV. GENERAL MEDICAL SERVICES – NURSING DIVISION: 1. Client/Patient registers and given a priority number by the Officer of the Day & waits for the number to be called. Officer-of-the-Day on duty 1 minutes None
2. CHO staff performs screening/assessment to Client needing immediate care, elderly, pregnant women & PWD will be given priority. Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Marilyn B. Arimado

Loida P. Arevalo

Elvira F. Belen

Delia N. Bernal

Cristina A. Bobadilla

Soledad G. Carretero

Carmen M. Lana

Gemma A. Lodor

Marichu D. Mangampo

Fe A. Marchan

Gina A. Orinoco

Jinky E. Torre

Gina M. Agripa

Bernadette Faye A. Alamares

Marites R. Apuli

Jenny B. Arganda

Ma. Victoria O. Azores

Elisa B. Rodriguez
3-5 minutes
3. Patient proceeds to admission area to have a record.
*for new patient:
– Make an individual Treatment Record (ITR)
*for old patient:
– Retrieves & updates the filed ITR
Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Marilyn B. Arimado

Loida P. Arevalo

Elvira F. Belen

Delia N. Bernal

Cristina A. Bobadilla

Soledad G. Carretero

Carmen M. Lana

Gemma A. Lodor

Marichu D. Mangampo

Fe A. Marchan

Gina A. Orinoco

Jinky E. Torre

Gina M. Agripa

Bernadette Faye A. Alamares

Marites R. Apuli

Jenny B. Arganda

Ma. Victoria O. Azores

Elisa B. Rodriguez
3-5 minutes
4. Patient proceeds to waiting area & when # called, proceed to doctor’s room for consulation. Dr. Fulbert Alec R. Gillego

Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez

Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Andew Angelo G. Marcaida
10 minutes
5. Patient instructed to proceed to Pharmacy to get the prescribed medicines. Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon
5 minutes
V. PPMD TB-DOTS SERVICES 1. Client/Patient registers and given a priority number by the Officer of the Day & waits for the number to be called. Sheila L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Janzhel Marie R. Chan

Menchie B. Corpuz

Angelo A. Encinas
1 minutes Referral Slips from BHC of Private Referring Physicians and Walk-in Client or Patient None
2. Client/Patient proceeds to induction room for proper instruction on sputum collection Guadalyn Dl. Nuyda

Janzhel Marie R. Chan
2 minutes
3. Client/Patient is instructed to proceed to processing area to submit sputum specimen. Guadalyn Dl. Nuyda

Janzhel Marie R. Chan
1 minutes
4. Client/Patient is instructed when to return for follow-up check-up. 1 minutes
For client/patient with (+) sputum result

a. Client/Patient is referred to doctor for medical consultation
Dr. Fulbert Alec R. Gillego

Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez

Shiela L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon
5 minutes
b. Client/Patient is admitted, provided with NTP drugs for the treatment regimen. 5 minutes
c. Client/Patient is given schedule date of sputum collection & undergo health education Dr. Fulbert Alec R. Gillego

Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez

Shiela L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon
1 minutes
d. Client/Patient is instructed when to return for follow-up check-up
For client/patient with (-) sputum result

a. Client/Patient proceeds to medical room for chest exam & given request for chest x-ray
Dr. Fulbert Alec R. Gillego

Dr. Adelsa R. Tee

Dr. Tita Fe R. Palad

Dr. Francis Gerald A. Gomez
5 minutes
b. Client/Patient proceeds to the X-ray Unit for examination & instructed on when to return for the x-ray result. Rad. Tech. 5 minutes
c. If needed, patient will be given medicines or be admitted to Smoking Cessation Clinic & will be given health education Shiela L. Estipona

Debbie A. Baltasar

Ma. Cristina P. De Leon

Marilyn B. Arimado

Loida P. Arevalo

Elvira F. Belen

Delia N. Bernal
5 minutes

PROCEDURES IN FILING A COMPLAINT:

1.) Secure a Form 3 (Complaint Form) from the Public Assistance and Complaint Desk (PACD)

2.) Write your complaint in the form and include the following:

a.) Name of the person you are complaining (if there is)

b.) Date and time

3.) Drop the filled-up complaint form in the drop box located at the PACD

NOTICE:

The number of minutes per service may vary depending on the level of care needed to be given to a patient.

SERVICE PLEDGE: “We pledge and commit to ensure access to fair and quality health care services in partnership with the people.”