| PhilHealth Member Registration Form (PMRF) | Public Assistance and Complaint’s Desk (PACD) PhilHealth Website (www.philhealth.gov.ph/downloads) or in any PhilHealth Local Insurance Office (LHIO) |
| Duly accomplished PhilHealth Member Registration Form (PMRF) duly signed by the Member (1 original copy) - All Individual Members (except for Kasambahay and Foreign National and Family Driver) | Public Assistance and Complaint’s Desk (PACD) PhilHealth Website (www.philhealth.gov.ph/downloads) or in any PhilHealth Local Insurance Office (LHIO) |
| Report of Employee-Member (ER-2) duly signed by the Head of the Agency/Authorized Representative (2 original copies) - Employed (Private or Government), Migrant Worker (Sea-based), and Family Driver | Employer |
| Kasambahay Unified Registration Form (KURF) duly signed by the Member (1 original copy) | Public Assistance and Complaint’s Desk (PACD) PhilHealth Website (www.philhealth.gov.ph/downloads) or in any PhilHealth Local Insurance Office (LHIO) |
| Household Employment Unified Report Form 2 (HEUR2) duly signed by the Household Employer (2 original copies) | Employer |
| PMRF for Foreign Nationals (1 original copy) | Public Assistance and Complaint’s Desk (PACD) PhilHealth Website (www.philhealth.gov.ph/downloads) or in any PhilHealth Local Insurance Office (LHIO) |
| Birth Certificate/Baptismal Certificate/Valid ID (1 photocopy) | Philippine Statistics Authority (PSA)/Local Civil Registrar (LCR) |
| Birth Certificate with registry number from LCR/PSA; Baptismal Certificate with registry number (1 original copy) In the absence of valid document/ID, Notarized Affidavit of two (2) disinterested persons attesting to the date of birth (1 original copy) | Philippine Statistics Authority (PSA)/Local Civil Registrar (LCR); Notary Public |
| Valid ID of the authorized signatory (photo and signature bearing) (1 photocopy) - Employed Members (employee-client) | Employer |
| Income Tax Return/Employment Contract/Financial Statement/Proof of Income (1 photocopy) - Professional Practitioner, Self-Earning Individual (Sole Proprietor), Migrant Worker (Land-based) and Persons with Dual Citizenship If unable to present proof of income, Duly accomplished PMRF with monthly income indicated (1 original copy) | Bureau of Internal Revenue (BIR)/Employer/Agency; PhilHealth LHIO/Website |
| Retirement Certification/General Order/Special Order/ Retirement Voucher (1 photocopy) - Lifetime Member | Previous Employer Government Service Insurance System (GSIS)/ Social Insurance System (SSS)/Armed Forces of the Philippines (AFP)/Philippine National Police (PNP)/Bureau of Jail Management and Penology (BJMP)/Bureau of Fire Protection (BFP) |
| Special Resident Retiree’s Visa (SRRV) (1 photocopy) - Foreign National (Philippine Retirement Authority Foreign Retiree) | Philippine Retirement Authority |
| Alien Certificate of Registration I-Card (ACR I-Card) (1 photocopy) - Foreign National (without Formal Contract as an employee) | Bureau of Immigration |
| Certificate of Active Membership with 4Ps ID (1 photocopy) - Listahanan and 4Ps/MCCT member If unable to present Certificate of Active Membership, City/Municipal Link Certification (1 original copy) | City/Municipal Links of Department of Social Welfare and Development (DSWD) |
| Office of the Senior Citizens Affairs (OSCA) ID (1 photocopy); Valid government issued ID with date of birth If unable to present Senior Citizen ID, Birth Certificate (1 original copy) - Senior Citizen | Office for the Senior Citizens’ Affairs (OSCA); Philippine Statistics Authority (PSA) |
| PWD Card (must be registered under the Department of Health’s Philippine Registry of PWD/DOH-PRPWD) (1 photocopy) - Person with Disability (PWD) | Persons with Disability Affairs Office (PDAO) / City/Municipal Social Welfare Development Office (C/MSWDO) of Local Government Units (LGUs) |
| Certificate of Financially Incapable/Financial Assessment issued by Medical Social Worker or City/ Municipal Social Welfare Officer (1 original copy) - Point-of-Service Financially Incapable (POS-FI) / Financially Incapable (FI) | Medical Social Worker of Hospitals /C/MSWDO of Local Government Units (LGUs) |
| Marriage Certificate/Contract with Registry Number (1 photocopy) - Dependent Spouse If marriage took place abroad, Marriage Certificate “Received” by the Philippine Embassy/Consular Office exercising jurisdiction over the place of marriage (1 photocopy), or Marriage Contract duly issued by the PSA indicating that such marriage has been registered thereat (1 photocopy) If a Muslim spouse, Affidavit of Marriage issued by the National Commission on Muslim Filipinos passed through Shari’a Court (MUST BE registered/authenticated in the PSA) (1 photocopy) | PSA/Local Civil Registry (LCR); Philippine Embassy/Consular Office in the country where the marriage took place/PSA; PSA/LCR/Church of Baptism |
| Birth Certificate/Baptismal Certificate with Registry Number (1 photocopy) - Dependent Children (Unmarried and unemployed, legitimate, illegitimate children below 21 years old) | PSA/LCR/Church of baptism |
| Court Decree of Adoption (1 photocopy) - Dependent Children (Legally adopted children below 21 years old) | Trial Court where the adoption proceedings took place |
| Marriage Certificate with Registry Number between the biological parents and stepmother/stepfather (1 photocopy); Birth Certificates with Registry Number of the stepchildren (1 photocopy) - Dependent Children (Stepchildren below 21 years old) | PSA/LCR |
| Birth Certificate with Registry Number (1 photocopy); Medical Certificate issued by the Attending Physician stating and describing the extent of disability as diagnosed in the past 6 months and when the disability was acquired (1 original copy) - Dependent Mentally or Physically Disabled Children who are 21 years old or above | PSA/LCR; Attending Physician |
| Birth Certificate with Registry Number/Foundling Certificate/Child Profile (1 photocopy); Foster Family Care License and Foster Placement Authority (FPA) (1 photocopy) - Dependent Foster Children as defined in RA 10165 (Foster Care Act of 2012) | PSA/DSWD; FPA |
| Medical Certificate issued by the Attending Physician stating and describing the extent of disability as diagnosed in the past 6 months and when the disability was acquired (1 original copy); Birth Certificate of Member (1 photocopy) - Dependent Parents below 60 years old but with permanent disability (IRR Sec. 3 or RA 10606) | Attending physician; PSA |
