• Experience fast, convenient, and hassle-free laboratory testing with

    The Medical City Iloilo Drive-Thru Lab!

  • REPUBLIC ACT No. 11332 or the Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act requires the full cooperation of all persons to the mandate of the law. It is essential that you PROVIDE TRUTHFUL INFORMATION about your health condition and possible exposure.

    In compliance with the Data Privacy Act of 2012 (R.A.10173), The Medical City Iloilo ensures that the information you provide will be kept strictly confidential and will only be processed, disclosed, or shared upon your consent, or as required by law.

  • As a prerequisite, please complete this Case Investigation Form

  •  / /
  • Part 1. Patient Information

    1.1. Patient Profile
  •  / /
  • 1.2. Current Address in the Philippines and Contact Information (Provide address of institution if patient lives in closed settings (e.g. prisons, residential facilities, retirement communities, care homes, camps, etc.)
  • 1.3. Permanent Address and Contact Information (if different from current address)
  • 1.4. Current Workplace Address and Contact Information
  • 1.5. Special Population
  • Part 2. Case Investigation Details

    2.1. Consultation Information
  •  / /
  • 2.5. Vaccination Information
  • VACCINATION INFORMATION : FIRST DOSE
  •  - -
  • VACCINATION INFORMATION : SECOND DOSE
  •  - -
  • 2.6. Clinical Information
  •  / /
  •  / /
  • 2.7. Laboratory Information
  •  / /
  • PART 3. Contact Tracing: Exposure and Travel History

  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  •  / /
  • I
  •  / /
  •  / /
  • II
  •  / /
  •  / /
    • If symptomatic, provide names and contact numbers of persons who were with the patient two days prior to onset of illness until this date.
    • If asymptomatic, provide names and contact numbers of persons who were with the patient on the day specimen was submitted for testinguntil this date.
  • Payment Transaction

  • For Bank Transfer

    Please process your payment through:

  • For LOA / Letter of Authorization

    Please attach your duly completed and approved LOA / Letter of Authorization 

     

     

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Image-202
  •  
  • Should be Empty: