Step 1 of 4

SOCIAL CASE STUDY REPORT (MEDICAL ASSISTANCE)

External Services

Referral for Medical/Financial Assistance in Different Government/ Non-Government Agencies for clients undergoing expensive medication or having an existing unpaid Hospital Bill. It presents the socio-economic condition, needs and problems of an individual or family to determine eligibility for assistance or intervention.

← Back

Details

OFFICE/UNIT

MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE

CLASSIFICATION

Simple

TYPE OF TRANSACTION

G2C - Government to Citizen

G2G- Government to Government

WHO MAY AVAIL

Residents of Sto. Domingo only

Requirements

# Checklist & Where to Secure
1

Medical Certificate/ Medical Abstract

 Consulted Hospital/Doctor
2
Statement of Account Consulted Hospital/Doctor
3
Promissory Note Consulted Hospital/Doctor
4
Estimated cost of Surgery, Chemotherapy, etc. Consulted Hospital/Doctor
5
Doctor Request (indicating the need of chemotherapy, cobalt CT Scan, X-ray, etc.) Consulted Hospital/Doctor
6
Letter of acceptance from the hospital Consulted Hospital/Doctor
7
Barangay Certificate of Indigency Barangay of Residency
8
Valid Government  Identification Card (1 photocopy) Client

3 STEPS

 

CLIENT STEPS

AGENCY ACTION

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

  1. Submit requirements

1.1.Receive and review the requirements

None

3 Minutes

MARITA DORO

MGDH I (MSWDO)

GELENIE DIGNADICE

Social Welfare Officer I

JESSA URGENTE

Day Care Worker II

MSWDO

  1. Proceed for interview

2.1 Conduct interview

None

10 Minutes

MARITA DORO

MGDH I (MSWDO)

GELENIE DIGNADICE

Social Welfare Officer I

JESSA URGENTE

Day Care Worker II

MSWDO

 

2.2. Prepare the Social Case Study Report

None

30 Minutes

MARITA DORO

MGDH I (MSWDO)

GELENIE DIGNADICE

Social Welfare Officer I

JESSA URGENTE

Day Care Worker II

MSWDO

 

2.3 Affix signature

None

3 Minutes

MARITA DORO

MGDH I (MSWDO)

GELENIE DIGNADICE

Social Welfare Officer I

JESSA URGENTE

Day Care Worker II

MSWDO

  1. Receive and affix signature in the logbook

3.1 . Release Social Case Study Report

None

3 Minutes

MARITA DORO

MGDH I (MSWDO)

GELENIE DIGNADICE

Social Welfare Officer I

JESSA URGENTE

Day Care Worker II

KENT VINUYA

Admin. Aide IV

MSWDO

 

TOTAL

NONE

49 minutes

 
Finish