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CAGAYAN VALLEY MEDICAL CENTER
ONLINE REQUEST FOR MEDICAL RECORDS

Upload Valid ID

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

Please refer to the following:

If YES, please provide one valid ID upon pick up; if NO, please fill up the relationship to the patient above and provide one valid ID along with an authorization letter upon pick up.

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.

Thanks for submitting!

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