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Form CF-1

  1. Provide the name of the employee needing this form, and provide information whether the patient is the member.
  2. For the Patient Information, you will need to provide the PhilHealth Identification Number of Dependent, their complete name, their date of birth, gender, relationship to the employee, and your company signatory.
  3. Once you have done providing these details, simply click the Generate button, and check if all the needed details you have provided are accurate.
  4. Simply click Print once you are done, and use the form as needed.