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CAGAYAN VALLEY MEDICAL CENTER
ONLINE REQUEST FOR MEDICAL RECORDS

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PATIENT DETAILS:

Upload Valid ID of PATIENT

IF NO, Please fill up the details below.

Upload Valid ID of REQUESTER

For additional guidance on how to request medical records, please select below to view the complete instructions:

If you are requesting for LATE Birth Certificate please upload the PSA Negative Result and Accomplished NIS Form below

If you are requesting for LATE Death Certificate please upload the PSA Negative Result below.

Upload PSA Negative Result
Upload Accomplished NIS Form

Download the NIS Form below:

Please pay 150 pesos upon pick-up if you are requesting a LATE BIRTH CERTIFICATE  or LATE DEATH CERTIFICATE, and 100 pesos for other documents.

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