All information shall be kept confidential and will be used for screening and research adhering to the Republic Act 10173 (Data Privacy Act of 2012). The gathered data will only be disclosed to authorities required by law and to respective Department/ Section Heads or Administrative Officers of your unit if there is significant result.
Kindly complete this form honestly.
If you have any concerns you can contact us through
psychiatryvluna@gmail.com, or through these numbers: 09218255121(KAWAL: Call-a-friend).
Thank you for your cooperation and understanding. Stay Safe!