HMO Approval

Advance HMO Approval

We offer online support for approving LOA for outpatient consultations and diagnostic procedures through our online HMO approval services. Monday through Sunday, we are always open 24/7.

Full Name

Age

Birthday

Sex*

Civil Status

Contact Number

Upload your request from your doctor *

If not able to upload file, send your prescribed/requested procedure to CMC Teleconsult FB account. https://www.facebook.com/cmc.teleconsult

Upload your request from your Doctor

Request for Approval *

Request for Approval

Requesting Physician (For Medical Services Only)

Diagnosis / Impression (For Medical Procedure)

HMO Provider

HMO Account Number

Company

Upload your Health Card here & Valid ID *

If not able to upload file, send your HMO Card and Valid ID to CMC Teleconsult FB account. https://www.facebook.com/cmc.teleconsult/

Health Card

In compliance with the Data Privacy Act of 2012

In compliance with the Data Privacy Act of 2012, The Calamba Medical Center ensures that the information you provide will be kept strictly confidential and will only be processed, disclosed or shared upon your consent, or by law.

Note: Patient should seek approval for 1-2days before the hospital visit

Submitted Date

Call Us Now

Call Us Now

Send us a message

Call Us Now

Call Us Now

Call Us Now

Send us a message

Advance HMO Approval

Upload your request from your doctor *

Request for Approval *

Upload your Health Card here & Valid ID *

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