FAMILY PLANNING SERVICES

Documentary requirements : REFERRAL SLIPS FROM BHS

Fees : NONE

No. Follow These Steps Time Will Attend to you Person Responsible
VISIT BARANGAY HEALTH CENTER
1. Request for referral slip from
barangay assigned midwife
(corresponging Barangay Health Station)
15 mins. Midwife
VISIT CHO Office
2. Get priority no. at CHO
security guard
1 min Guard on duty
3. Present referral slip from Brgy.
Midwife to CHO out patient (OPD)
1 min. Admision Section Staff
4. Pull out Family Health envelope (OPD) 15 mins. Admission Section Staff
5. Interview the patient/and get
all vital signs, then receive ITR
card from Adnitting Section

20 mins. Admission Section Staff
6. Forward the Individual Treatment
Record Card (ITR card) to our
family planning Coordinator/
MD/Nurse
1 min Admission Section Staff
7. Proper screeing of clients and
counseling
20 mins. Family planning coordinator Nurse
8. Forward the individual Treatment
Record Card (ITR card) to family
planning medical coordinator
for clearance of family planning method
10 mins. Family planning coordinator Nurse Dr. Oscar B. Jimenea
City Health Officer
9. Return to family planning nurse,
coordinator to get family planning
commodities.
10 mins. Ma. Theresa Facultad

Nurse Family Planning Coordinator