As part of our NEW NORMAL efforts, you can now avail of our ONLINE Letter of Authorization (LOA) Request for Outpatient Consultation and Procedures that you wish to avail from our Hospital.
Before you proceed, please take note of the following guidelines:
Only selected HMOs are participating in this initiative which list is available under the HMO Provider Section. If your HMO Provider is not participating, please visit our office from 8 AM - 5 PM (Mondays to Saturdays).
Please plan and schedule your visit ahead. Since our outpatient centers and doctors' clinics are usually booked by appointment, please schedule your visit ahead and make your LOA request online at least 1 day prior to your visit. No on-the-day requests and post-procedure requests will be accommodated in this channel. On-the-day approval is only available in our HMO Concierge.
For consultations, we will only process Online LOA requests for doctors who are accredited by your HMO Provider and affiliated with CebuDoc. Otherwise, your request will not be processed and you will have to send another request again.
For procedures, your doctor's prescription or order that you will attach in this form should not be dated with more than 1 month on the date of online request. Otherwise, your request will not be processed unless you have a new request from your physician.
This form can be accessed at any time of the day but since our office hours are only from 8 AM to 5 PM (Mondays to Fridays) please bear with us if our team cannot respond to your requests immediately. But we will make sure that your requests will be attended within our office hours. Requests after 4 PM will be processed the following business day.
The CebuDoc Group recognizes and follows its responsibilities with regard to the Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012, with respect to the data from online users that it will collect, record, organize, update, use, consolidate or destroy. The personal data obtained from this portal is entered and stored within the hospital’s information system and will only be accessed by the CebuDoc Group authorized personnel. The CebuDoc Group has instituted appropriate organizational, technical, and physical security measures to ensure the protection of online users' data. Furthermore, the information collected and stored in the portal shall only be used for the purpose of processing the information necessary for this online request.
I have read the CebuDoc Group's Data Privacy Statement and express my consent for the CebuDoc Group to collect, record, organize, retrieve, consult, use, consolidate, erase or destroy my personal data as part of my information. I hereby affirm my right to be informed, object to processing, access and rectify, suspend or withdraw my personal data, and be indemnified in case of damages pursuant to the provisions of the Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012 and its corresponding Implementing Rules and Regulations.
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