Diliman Doctors Hospital Online Health Assessment Form
For your safety and protection as well as our Health Care Workers, all patients will be screened prior to entry to our hospital. To make this faster and more convenient to you, we would like to ask you to fill out our Pre-Screening Form. This data will be uploaded to our system and will serve as a pre appointment. Please make sure to download the file and have a print copy which will be presented to our staff at the MAB Lobby Screening Area.

This required information will be used in accordance with the R.A 11332, Section 9. ANY INCORRECT INFORMATION PROVIDED WILL BE DEALT ACCORDINGLY.
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