What is Philhealth MDR form?

The Philhealth MDR form, also known as the Member Data Record form, is a document issued by the Philippine Health Insurance Corporation (PhilHealth) that contains important information about a member's enrollment status, contributions, and other relevant details.

What are the types of Philhealth MDR form?

There are two main types of Philhealth MDR forms: the Philhealth MDR Form 1 or the Member Data Record for employees, and the Philhealth MDR Form 2 or the Member Data Record for individually paying members.

Philhealth MDR Form 1 (Employee)
Philhealth MDR Form 2 (Individually Paying Member)

How to complete Philhealth MDR form

Completing the Philhealth MDR form is a simple process that involves providing accurate information about yourself as a Philhealth member. Here are the steps to complete the form:

01
Fill in your personal information such as name, address, birthdate, and contact details.
02
Indicate your employment status and the type of Philhealth membership you have.
03
Provide information about your dependents, if applicable, and their eligibility for Philhealth coverage.
04
Sign and date the form to certify the accuracy of the information provided.

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Video Tutorial How to Fill Out

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Questions & answers

Get a PhilHealth Request Form and fill it out with your name, PhilHealth number, birthdate, and address. Then check the Member Data Record (MDR) box. Submit your accomplished form and present your valid ID to the PhilHealth officer. In just a few minutes, your MDR will be printed and issued to you.
Members can now download PhilHealth MDR online from the official website of PhilHealth, hence a total convenience.
Guide to Updating Your PhilHealth Membership Online #1 – Download the PhilHealth Member Registration Form (PMRF). ... #2 – On the upper right-hand side of the form, check the box, “For Updating.” #3 – Fill out the form with the necessary revisions. ... #4 – Send the accomplished form via email to ofp@philhealth.gov.ph.
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.
How to Get Philhealth MDR Form Online in 2 Minutes (with Pictures) 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.
Click the “Print MDR” button on top of the Member Information page. A PDF file of your MDR will appear on your browser. Hover the mouse over the upper right corner of the page. Click the corresponding icon for saving or printing the MDR.
Amending your data Download PhilHealth Member Registration Form or (PMRF) Tick FOR UPDATING on the upper right-hand corner of the PMRF. Fill out PMRF as appropriate. Submit properly filled out PMRF to the nearest PhilHealth Office. Await printout of updated Member Data Record.