Philhealth Member Registration Form

What is Philhealth member registration form?

The Philhealth member registration form is a document that enables individuals to sign up for membership with the Philippine Health Insurance Corporation (Philhealth). It serves as a means for individuals to avail of the benefits and coverage provided by Philhealth.

What are the types of Philhealth member registration form?

There are two types of Philhealth member registration forms: the Philhealth Member Data Record (MDR) form and the Philhealth Member Registration Form (PMRF). Each form collects specific information and serves different purposes.

Philhealth Member Data Record (MDR) form
Philhealth Member Registration Form (PMRF)

How to complete Philhealth member registration form

To successfully complete the Philhealth member registration form, follow these steps:

01
Fill in your personal information accurately.
02
Provide relevant details such as your name, address, contact information, and other required data.
03
Submit the completed form to the nearest Philhealth office for processing.

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Video Tutorial How to Fill Out Philhealth member registration form

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Questions & answers

0:39 2:45 Tutorial on how to fill up PhilHealth Form - YouTube YouTube Start of suggested clip End of suggested clip Last name first name p.m. extension is there any. And the middle name.MoreLast name first name p.m. extension is there any. And the middle name.
Application Procedure Go to the PhilHealth Electronic Registration System page at eregister.philhealth.gov.ph. ... Click the Proceed button. Click the Accept button to agree to the Terms and Conditions. Enter the required personal and contact information in the form.
Registration procedures Fill out two (2) copies of the PhilHealth Member Registration Form (PMRF) Submit PMRF to the HR Department of employer. Await Member Data Record and PhilHealth ID card from employer.
Members can now download PhilHealth MDR online from the official website of PhilHealth, hence a total convenience.
How to Get Philhealth MDR Form Online (in 2 Minutes) Step 1: Visit Philhealth Online Services. Step 2: Select Member Inquiry. Step 3: Register or Log in to your Account. Step 4: Choose MDR Printing. Step 5: Print out your MDR Form.
3 Easy Steps to Download and Print the Philhealth Forms Step 1: Visit the official website of Philhealth. At the home page navigation menu, go to “Download.” It is located at the rightmost part of the green navigation menu next to “online services.” ... Step 2: Select and Download the form. ... Step 3: Print the PhilHealth forms.
PMRF: PhilHealth Member Registration Form. PMRF-FN: PhilHealth Member Registration Form for Foreign Nationals.
You may claim it for P90 at any PhilHealth office. But if you wish to declare a dependent for your ID card, you need to go to any Bayad Center outlet and pay P358. Two (2) valid IDs of your dependent are required to proceed.