COVER PAGE

MUNICIPAL HEALTH SERVICES OFFICE

CITIZEN’S CHARTER
2023

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 COVER PAGE

MUNICIPAL HEALTH SERVICES OFFICE

CITIZEN’S CHARTER
2023

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I. Mandate:

Provision of adequate, equitable and quality health services by competent,

responsive and compassionate health workers, governed by dynamic leaders and
with active community participation.

II. Vision:

A healthier and nutritionally improved La Trinidad.

III. Mission:

To ensure health, safe environment, healthy behaviors and proper nutrition among
individuals and communities through responsive programs and policies across life
stages.

IV. Service Pledge:

We commit to:

➢ Advocate for the adoption of effective government practices for efficient

government service delivery and prevention of graft and corruption;
➢ Capacitate government agencies to reengineer its systems and procedures to
reduce processing time and regulatory burden for the transacting public;
➢ Promote the implementation of simplified requirements and procedures that
will reduce red tape and expedite business and non-business-related transactions
in the government
➢ Provide assistance to the public in filing and investigating complaints against
the government agencies and/or officials for non-compliance to R.A. 11032;
➢ Attend to all applicants or requesting parties who are within the premises of
the office prior to the end of official working hours and during lunch break.

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 LIST OF SERVICES
Outpatient Consultation and Treatment ................................................................................................................... 5
Healthy Lifestyle & Management of Health Risks / Smoke Cessation Clinic ............................................................ 6
National Rabies Prevention and Control Program .................................................................................................... 8
National Tuberculosis Control Program ..................................................................................................................... 9
National HIV, AIDS and STI Prevention and Control Program................................................................................. 11
National Immunization Program .............................................................................................................................. 12
Maternal Health Care Services ................................................................................................................................. 14
Family Planning Services .......................................................................................................................................... 15
Child Health Care Services ........................................................................................................................................ 16
Laboratory Services .................................................................................................................................................. 18
Nutrition Services ..................................................................................................................................................... 19
National Oral Health Program .................................................................................................................................. 20
Issuance of Medical Certificate ................................................................................................................................ 22
Physical Therapy and Occupational Therapy Services ............................................................................................ 23
Issuance of Sanitary Permit ...................................................................................................................................... 24
Issuance of Health Certificate for Sanitary Permit .................................................................................................. 25
Processing / Issuance of Death Certificate / Issuance of Exhumation Permits / Transfer of Cadavers ................ 26
FEEDBACK AND COMPLAINTS MECHANISM ............................................................................................................ 28

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Municipal Health Service Office

Frontline Services

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Outpatient Consultation and Treatment
This process covers outpatient general medical and basic surgery / management / follow-up
consultation and treatment to all new patients in order to provide quality supportive care to
patient who does not need hospitalization, inclusive of promotive, preventive and primary
health care in support to the DOH program. The outpatient department opens from Monday
to Friday excluding holidays.

Office or Division: Municipal Health Services Office

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - All patients needing outpatient consultation, assessment, evaluation
and treatment
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Mother and Child Book / Under Five / Yellow Health Care Facilities
Card, if any
Referral Slip, if any (1 original) Referring Health Care Facility

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client1. Triage-Quick None 2 Minutes Nurses and
Log Book in the assessment / Midwives
triage area and get issuance of
number number
2. Submit self for 2. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
3. Proceed to the 3. Preparation of 10 - 30 Medical
Consultation Room chart, physician Minutes Doctors,
notes, Nurses and
appointment and Note: Longer Midwives
order form if first visit,
3.1 Assessment / shorter if
examine the follow-ups
patient
3.2 Prescribes /
request ancillary
procedures,
laboratory
exams
3.3 Counselling
based on current
needs / HL IEC
4. Proceed to the 4. Dispense 8 - 15 Nurses and
Drug Room as Medicines, IEC Minutes Midwives

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
needed on dosages,
route and
* Refer to lab as schedule of
needed intake of
medicines, IEC
on Healthy
Lifestyle
services, Remind
follow-up
TOTAL 25 – 56
Minutes

Healthy Lifestyle & Management of Health Risks / Smoke Cessation Clinic

World deaths from “lifestyle” related diseases are expected to double by 2015, according to
the World Health Organization (WHO), unless all efforts are done to prevent them. The vast
majority of cases are caused by small number of known and preventable risk factors; three
of the most common are unhealthy diet, physical inactivity and tobacco use.
The main objective of this it to reduce the mortality and morbidity rate of CVD. Others would
be to intensify case finding, treatment and follow up, to improve reporting and registration of
cases, and to strengthen the referral system. Health education / counselling on healthy
lifestyle and management is being incorporated every patient’s visit depend on assessed
risk factors and needs.

Office or Division: Municipal Health Services Office

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person, who wants to avail lifestyle related disease
management services
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Laboratory results, if any (1 original, 1 Any Licensed / Accredited Laboratory
photocopy)
Referral Slip, if any (1 original) Referring Health Care Facility

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
illness), WHO-
PEN Risk
Assessment
Form
3. Proceed to the 3. Performs 10 - 30 Medical
Consultation Room assessment and Minutes Doctors,
provide Nurses and
consultation Note: Longer Midwives
services, if first visit,
Conduct Health shorter if
Education on follow-ups
Heathy Lifestyle
& related topics
and Remind
follow up
schedule, Refer
as needed
4. Proceed to 4. Collect specimen 15 Minutes Medical
Laboratory and process processing of Technologist
Services, as specimen. specimen
needed (waiting for
collection of
own specimen
not included)
5. Proceed to the 5. Dispense 8 – 20 Nurses and
Drug Room as Medicines, IEC Minutes Midwives
needed on dosages,
route and
schedule of
intake of
medicines, IEC
on Healthy
Lifestyle
services, Remind
follow-up, refer
as needed
TOTAL 39 – 71
Minutes

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National Rabies Prevention and Control Program
The National Rabies program aims to increase awareness among the people regarding
animal bites and their management. And since rabies vaccines are still expensive, the
program emphasizes on prevention of bites and immunization of dogs.
The Municipal Health Services Office is a DOH accredited and PHIC certified Animal Bite
Treatment Center health facility and is known as the La Trinidad Animal Bite Treatment
Center. As such, it has the proper infrastructure, trained health workers and available
logistics for the management of animal bite cases.
Office or Division: Municipal Health Services Office
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person who is an animal bite case who wants to avail treatment.
- Referred cases from Barangay Health Station (BHS) / other
municipalities / other provinces.
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
PhilHealth ID / Member Data Record, if any PhilHealth Office
(1 photocopy)
Referral Slip, if any (1 original) Referring Health Care Facility

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5-10 Minutes Nurses and
admission (Profile, Vital Midwives
Signs, History of
illness)
3. Proceed to the 3. Performs 5 - 10 Medical
Consultation Room assessment and Minutes Doctors
management
plan for the
client. IEC on
Rabies
Prevention and
Control
4. Pay the required 4. Accept the Anti-Rabies 3 Minutes Sanitation
fees at the payment based Vaccine (ARV) Inspectors
Sanitation Division on the Order of bought by
by showing the Payment LGU:
Order of Payment 4.1 Issue the Official Php200 x
if vaccine is Receipt 2shots =
procured by LGU. Php400/dose
*Make sure to (ARV provided
secure Official by DOH are

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
Receipt that will be FREE)
issued upon
payment RIG depends
on weight
(may buy from
outside
pharmacy)
5. Proceed to the 5. Carry-out 10 - 15 Nurses
Treatment Room Doctor’s order / Minutes
management
plan. Remind (30 minutes
follow-up to 1 hour
schedule observation
period after
injection)
6. Proceed to the 6. Dispense 8 - 15 Nurses and
Drug Room Medicines, IEC Minutes Midwives
on dosages,
route and
schedule of
intake of
medicines, IEC
on Rabies
Elimination,
Remind follow-
up
TOTAL 32 – 90
Minutes

National Tuberculosis Control Program

The National Tuberculosis Control Program (NTP) remains to be among the priority
programs of the DOH to ensure that the NTP policies and the Directly observed Treatment
Short Course Chemotherapy (DOTS) strategies are implemented.
Office or Division: Municipal Health Services Office
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person, who is presenting signs and symptoms of TB who needs
to avail of standardized Short Course Chemotherapy (SCC) with
Directly Observed Treatment Short Course (DOTS).
- Referred cases from Barangay Health Station (BHS) / other health
facilities / private practitioners
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Chest X-ray Film, if any / official reading (1 Any Licensed / Accredited Laboratory
original, 1 photocopy), other labs available
Referral Slip, if any (1 original) Referring Health Care Facility

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PhilHealth ID / Member Data Record, if any PhilHealth Office
(1 photocopy)

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5-10 Minutes Nurses and
admission (Profile, Vital Midwives
Signs, History of
illness)
3. Proceed to the 3. Performs 15 Minutes Medical
Consultation Room assessment and Doctors
management
plan for the
client. IEC on
TB.
4. Proceed to 4. Perform DSSM 10 Minutes Medical
Laboratory (Results processing of Technologist
Services for available the day specimen
specimen after; Chest X- (waiting for
collection, as ray (Outside); collection of
needed GeneXpert own
(PHO) specimen not
4.1 Enter to NTP included)
Registry (New
Patients)
5. Proceed to the 5. Dispense free 8 - 15 Nurses and
Drug Room Medicines, give Minutes Midwives
charge slip if
drugs bought by
LGU IEC on
dosages, route
and schedule of
intake of
medicines, IEC
on TB, Remind
follow-up
6. Pay the required 6. Accept the Anti-TB Drugs 3 - 5 Minutes Sanitation
fees at the payment based bought by Inspectors
Sanitation Division on the Order of LGU:
by showing the Payment a. INH =
Order of Payment 6.1 Issue the Official Php55 /
if anti-TB drugs is Receipt 120 ml
procured by LGU. b. Rifampicin
*Make sure to = Php199 /

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
secure Official 120 ml
Receipt that will be c. PZA =
issued upon Php249 /
payment 120 ml
(Anti-TB
Drugs
provided by
PHO/DOH are
FREE)
7. Proceed to drug 7. Dispense 5 Minutes Nurses /
room with official medicines Midwives
receipt
TOTAL 47 – 54
Minutes

National HIV, AIDS and STI Prevention and Control Program

The Sexually Transmitted Infections (STI) Control Program aims to provide IEC, screening
and management services. Although there are no recorded night spots in the municipality,
we cannot claim to be safe from STI’s. Due to the fast urbanization of the municipality and
that Baguio night spots are just near; it makes the municipality more susceptible to STI’s.
STIs are still considered taboo in the municipality hence.
Office or Division: Municipal Health Services Office
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person who wants to avail treatment
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Referral Slip, if any (1 original) Referring Health Care Facility
FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5 – 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
3. Proceed to the 3. Performs 15 Minutes Medical
Consultation Room assessment and Doctors
management
plan for the
client. IEC on

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
STI.
4. Proceed to 4. Collect specimen 1 Hour Medical
Laboratory and process processing of Technologist
Services for specimen. specimen
specimen (waiting for
collection, as collection of
needed own specimen
not included)
4.1 If needing 4.1 Midwife 1 week Midwife
papsmear, performs
proceed to cervical smear
examination room collection and
referral
4.2 Submit to lab or
processing
5. Proceed to the 5. Dispense 8 - 15 Nurses and
Drug Room Medicines, IEC Minutes Midwives
on dosages,
route and
schedule of
intake of
medicines, IEC
on STI, Remind
follow-up
6. Bring specimen to 6. Make lab request 5 Minutes Midwife
referral laboratory
7. Follow-up result of 7. Reassess patient Same as Midwife /
papsmear (1-2 general Nurses
weeks after) ang consultation
bring to Health
Center
TOTAL 92 – 104
Minutes

National Immunization Program

The National Immunization Program (NIP) / Expanded Program on Immunization (EPI) is
one of the priority programs of the Department of Health and the Local Government Unit.
This is because immunization is a way of preventing diseases afflicting children, which is
the concern of Primary Health Care. Such immunizable diseases are Measles,
Tuberculosis, Diphtheria, Tetanus, Pertussis (whooping cough), Poliomyelitis, Hepatitis B
and Haemophilus influenza type b. These vaccines are available free at the Main Health
Center and in all Barangay Health Stations.

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Office or Division: Municipal Health Services Office
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - All eligible children
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Underfive (Yellow) Card / Mother and Child Health Care Facilities
Book / Family Health Diary, if any

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
3. Proceed to the NIP 3. Performs 10 - 15 Nurses and
Room or Maternal assessment and Minutes Midwives
and Child room provide NIP
services,
conduct health
education on NIP
and related
topics and
remind follow-up
schedule
4. Proceed to the 4. Dispense 10 – 20 Nurses and
Drug Room as Medicines, IEC Minutes Midwives
needed, update on dosages,
child book route and
schedule of
intake of
medicines, IEC
on NIP, Remind
follow-up, Refer
as needed
TOTAL 24 – 36
Minutes

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Maternal Health Care Services
Maternal Care encompasses the package of health interventions and services that must be
provided to women from the time they become pregnant, during delivery and post-partum
period which is up to 42 days after delivery.

Office or Division: Municipal Health Services Office

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Pregnant or post-partum women who wants to avail of the services
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Mother and Child Book / Family Health Diary, Health Care Facilities
if any

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
3. Proceed to the 3. Performs 30 Minutes Nurses and
Maternal and Child assessment and Midwives
Room management
plan for the
client. Conduct
Health Education
on Proper
Nutrition and
Maternal Care,
Administer
immunization if
needed and
Remind follow up
schedule, refer
as needed
4. Proceed to 4. Collect specimen 15 Minutes Medical
Laboratory and process processing of Technologist
Services, as specimen. specimen
needed (waiting for
collection of
own specimen
not included)

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
5. Pay the required 5. Accept the Complete 3 Minutes Sanitation
fees at the payment based Blood Count = Inspectors
Sanitation Division on the Order of Php50
by showing the Payment Urine Exam =
Order of Payment. 5.1 Issue the Official Php 30
*Make sure to Receipt RPR, as
secure Official needed =
Receipt that will be FREE
issued upon (Main Health
payment Center only)
6. Proceed to the 6. Dispense 8 – 15 Nurses and
Drug Room Medicines, IEC Minutes Midwives
on dosages,
route and
schedule of
intake of
medicines, IEC
on MHC, Remind
follow-up, Refer
as needed
TOTAL 62 – 74
Minutes

Family Planning Services

Family Planning Program is directed towards the promotion and maintenance of the health
of mothers and children in the over-all well-being of the family. It provides the best
opportunity for couples to exercise their reproductive rights by planning births to occur when
there is the risk to the health of the mother and when there is the best chance of survival.
Spacing is what best describes the use of FP methods which was made available in all
Barangay Health Stations and Benguet General Hospital for easier accessibility and wider
scope.
Office or Division: Municipal Health Services Office
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person, who wants to avail FP commodities and other services
to ensure proper child spacing, optimum economic and physical
health requirements for child bearing and other matter related to FP
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Mother and Child Book / Family Health Diary, Health Care Facilities
if any

15
 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
3. Proceed to the 3. Performs 10 - 30 Nurses and
Family Planning assessment and Minutes Midwives
Room provide FP
services, Note: Longer
Conduct Health if first visit,
Education on FP shorter if
& related topics follow-ups
and Remind
follow up
schedule.
4. Proceed to the 4. Dispense 8 – 15 Nurses and
Drug Room as needed FP Minutes Midwives
needed supplies, IEC on
dosages, route
and schedule of
intake of
medicines, IEC
on FP services,
Remind follow-
up, refer as
needed
TOTAL 24 – 56
Minutes

Child Health Care Services

Child Care encompasses the package of health interventions and services that must be
provided to the newborns, infants, under-five children, school-aged children, and children of
older age groups (10-19 years old) including management of sick children. Some newborn
care services however are reported as part of the Prenatal Care (e.g. Td immunization).

Office or Division: Municipal Health Services Office

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - newborns, infants, under-five children, school-aged children, and
children of older age groups (10-19 years old) including
management of sick children
- Referred cases from Barangay Health Station (BHS) / other health
facilities

16
 CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Mother and Child Book / Family Health Diary, Health Care Facilities
if any

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client 1. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
2. Submit self for 2. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
3. Proceed to the 3. Performs 30 Minutes Nurses and
Maternal and Child assessment and Midwives
Room management
plan for the
client. Conduct
Health Education
on Proper
Nutrition and
Maternal Care,
Administer
immunization if
needed and
Remind follow up
schedule.
4. Proceed to 4. Collect specimen 15 Minutes Medical
Laboratory and process processing of Technologist
Services, as specimen. specimen
needed (waiting for
collection of
own specimen
not included)
5. Pay the required 5. Accept the Complete 3 Minutes Sanitation
fees at the payment based Blood Count = Inspectors
Sanitation Division on the Order of Php50
by showing the Payment Urine Exam =
Order of Payment. 5.1 Issue the Official Php 30
*Make sure to Receipt RPR, as
secure Official needed =
Receipt that will be FREE
issued upon (Main Health
payment Center only)
6. Proceed to the 6. Dispense 8 – 15 Nurses and
Drug Room Medicines, IEC Minutes Midwives
on dosages,
route and

17
 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
schedule of
intake of
medicines, IEC,
Remind follow-
up
TOTAL 62 – 74
Minutes

Laboratory Services
Laboratory testing involves: (1) Receiving or collecting specimen for testing (pre-analytical
phase); (2) Performing the appropriate tests (analytical phase); (3) Generation and releasing
of results (post-analytical phase)

Office or Division: Municipal Health Services Office

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Community: senior citizens, pregnant, children, business
establishment workers
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Official laboratory request duly signed Any Licensed Physician / Health Care Facility
Note:
1. Clients must wear facemask and practice physical distancing
2. Specimen must not exceed 30 minutes
• For Urinalysis: 20 to 30ml freshly voided specimen mid-stream catch (no
menstruation for female clients) in a sterile container
• For Fecalysis: Formed specimen: pea / thumb size specimen in a sterile / clean
container. Liquid specimen: 5-6 tablespoon or at least 10 ml.
• Sputum: 5 to 10ml (collection will be instructed) in appropriate sterile container
3. Official receipt / charge slip from cashier

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Present laboratory 1. Receive and Costs as 10 Minutes Laboratory
request at the checks approved by Staff / Medical
laboratory window laboratory existing Technologist
request form. If ordinance
with specimen,
check specimen
condition.
Prepare charge
slip
2. Waits for specimen 2. Collects and or None 10 - 20 Laboratory
to be collected extracts sample; Minutes Staff / Medical

18
 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
for test that Technologist
require fasting,
instructions are
given
3. Analytical Phase 3. Actual Within 30 Medical
• Urinalysis performance of Php50 minutes to 1- Technologist
• Fecalysis procedures Php50 hour
• Blood Typing Php50 dependent on
• RAT (HIV, specimen
Dengue, HBsAg, load
SY/RPR)
• DSSM (TB 1 – 2 working
DOTS days
• Gram Stain
4. Patient / client 4. Actual See Medical
waits for specimen performance / Analytical Technologist
processing laboratory Phase
procedures
5. Patient / client 5. Records receipt Paid to 2 – 3 minutes Laboratory
returns to the cashier based Staff / Medical
laboratory on the cost / Technologist
reception and test
present Official
Receipt
6. Releasing of 6. Result is issued / None 5 – 10 Laboratory
Laboratory results; released upon minutes Staff / Medical
waits for releasing validation of Technologist
of results patient / client
identity
TOTAL 57 Minutes –
2 days

Nutrition Services
This process covers patient and personnel who need Nutrition Intervention. Computation of
patients and personnel caloric requirement. Sharing of ideas, beliefs, attitudes and
understanding about food. The service is offered from Monday to Friday excluding holidays.

Office or Division: Municipal Health Services Office – Nutrition and Dietetics Division
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - All patient needing dietary counselling
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Referral Slip, if any (1 original) Referring Health Care Facility
19
 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Presents referral 1. Receives referral None 1 Minute Nutritionist
form for Nutrition form
counselling
1.1 Performs None 10 Minutes Nutritionist
Nutritional
Assessment
based on the
anthropometric
data and
medical
diagnosis,
interviews
patients on food
intake /
preference
1.2 Computes for None 5 Minutes Nutritionist
patient’s body
mass index
(BMI), determine
Nutritional status
and calculate
recommended
energy intake.
1.3 Prepares None 10 Minutes Nutritionist
patients meal
plan
1.4 Nutrition None 20 Minutes Nutritionist
counselling for
intervention /
provision of IEC
materials
1.5 Monitoring and
follow up
TOTAL 46 Minutes

National Oral Health Program

Oral Health Program cuts across all life-cycle programs (child, maternal, adolescent, older,
person, etc)
Objectives:
a. To increase the proportion of Orally Fit Children (OFC) under 6 years old to 12% by 20%
b. To control oral health risks among the young people
c. To improve the oral health conditions of pregnant women by 20% and older persons by
10% every year

20
Office or Division: Municipal Health Services Office
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person, who wants to avail Oral Health Services
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Referral Slip, if any (1 original) Referring Health Care Facility

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
2. Sign in the Client 2. Register and 1 Minute Nurses and
Log Book in the issue number to Midwives
triage area and get client
number
3. Submit self for 3. Admit client 5 - 10 Nurses and
admission (Profile, Vital Minutes Midwives
Signs, History of
illness)
4. Proceed to the 4. Performs Dental 10 - 30 Dentist
Dental Room Services (Oral Minutes
Examination,
Oral Prophylaxis,
Tooth
Extraction), IEC
on Basic Oral
Health Care,
refer as needed
5. Proceed to the 5. Dispense 8 – 15 Nurses and
Drug Room as Medicines, IEC Minutes Midwives
needed on dosages,
route and
schedule of
intake of
medicines, IEC
on Oral Health
Care Services,
Remind follow-
up, refer as
needed
TOTAL 24 – 56
Minutes

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Issuance of Medical Certificate
Clients are issued Medical Certificates examined by the Doctor for various purposes such as
employment, leave of absence, study grants, etc.

Office or Division: Municipal Health Services Office

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - All patients needing Medical Certificates
- Referred cases from Barangay Health Station (BHS) / other health
facilities
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Original and photocopy of laboratory results Health Care Facilities

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Sign in the Client1. Triage-Quick None 2 Minutes Nurses and
Log Book in the assessment / Midwives
triage area and get issuance of
number number
2. Submit self for 2. Admit client 5-10 Minutes Nurses and
admission (Profile, Vital Midwives
Signs, check
requirements)
3. Proceed to the 3. Preparation of 10 - 30 Medical
Consultation Room chart, physician Minutes Doctors
/ Physical notes,
Examination appointment and Note: Longer
order form; if first visit,
evaluation of shorter if
laboratory follow-ups
results, Performs
physical check-
up / examination

4. Pay the required 4. Process Medical Php150.00 3 Minutes Sanitation

fees. *Make sure Certificate Inspectors /
to secure Official 4.1 Accept the Collection
Receipt that will be payment based Clerk
issued upon on the Order of
payment Payment
4.2 Issue the Official
Receipt
5. Client is issued 5. Fil up and issue 2 minutes Medical Doctor
medical certificate medical
certificate
TOTAL 22 – 47
Minutes

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Physical Therapy and Occupational Therapy Services
The process covers new and old patients for outpatient physical and occupational therapy.

Office or Division: Municipal Health Services Office – Physical and Occupational Therapy
Section
Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Children with Disabilities needing physical and occupational therapy
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Identification ID Government issuing ID’s
Referral Slip, if any (1 original) Referring Health Care Facility
Original and photocopy of EEG or MRI Health Care Facility
results if available

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Submit Referral 1. Pre-instruction None 3 Minutes Physical or
form from other requirements (x- Occupational
Department / ray, MRI, CT- Therapist
section / unit or scan, EEG, etc)
hospital
2. Present copy of 2. Prepare None 10 Minutes Physical or
MRI,EEG or CT necessary form Occupational
scan result, fill out (PT and OT form Therapist
form and client / / record, , patient
patient for consultation
evaluation attendance
logbook)
3. Submit referral 3. Pre-treatment 10 - 30 Physical or
form from the instruction and Minutes Occupational
Neurologist and schedule patient Therapist
developmental for Physical and Note: Longer
Doctor with Occupational if first visit,
assessment and service when shorter if
diagnosis to PT necessary follow-ups
and OT section
4. Client preparation 4. Start prescribed Average of Physical or
for treatment physical / 60 Minutes of Occupational
procedure occupational PT/OT Therapist
service treatment treatment
procedure management

5. Client signed / 5. Prepares patient None 3 Minutes Physical or

logged to time treatment time Occupational
monitoring monitoring Therapist
treatment logbook logbook and
formalizing the end schedules client

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 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
of his/her to his/her next
treatment session treatment
session
TOTAL 86 – 96
Minutes

Issuance of Sanitary Permit

The issuance of the Sanitary Permit is a provision in the Presidential Decree No. 856 or the
Sanitation Code of the Philippines.

Office or Division: Municipal Health Services Office – Sanitation Division

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Any person or entity operating Food and Non-Food (Public &
Industrial Establishment) in the Municipality of La Trinidad
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Duly accomplished Application Form (New) Licensing Office
(1 original)
Laboratory results: Chest X-ray, CBC, Any Licensed / Accredited Laboratory
Urinalysis, Fecalysis, VDRL/RPR, as
appropriate (1 original)
Food Handler’s Certificate, as appropriate (1 Municipal Health Services Office (Every
original) Tuesday, 3PM – certificate is valid for 3 years)
Health Certificate, as appropriate (original) Sanitation Division
Water Potability Certificate, as appropriate (1 Sanitation Division
original)

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Present duly 1. Receive 1 Minute Sanitation
accomplished application form Inspectors
application form
(new)
2. Submit 2. Evaluate / Verify 1 - 5 Minutes Sanitation
requirements for requirements Inspectors
Sanitary Permit, as
appropriate
3. Wait for evaluation 3. Processing of 5 Minutes Sanitation
/ processing Sanitary Permit Inspectors
4. Claim the Sanitary 4. Release the 1 Minutes Sanitation
Permit Sanitary Permit Inspectors
TOTAL 8 – 12
Minutes

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Issuance of Health Certificate for Sanitary Permit
The issuance of the Sanitary Permit is a provision in the Presidential Decree No. 856 or
the Sanitation Code of the Philippines. The health certificate/s is/are requirement/s of the
issuance of the Sanitary Permit.

Office or Division: Municipal Health Services Office – Sanitation Division

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may avail: - Employees of any business establishments and ambulant vendors
engaged in Food and Non-Food (Public & Industrial) in the
Municipality of La Trinidad
- Any person engaged in any Food, Public or Industrial establishment
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Laboratory Results for FOOD Any Licensed / Accredited Laboratory
ESTABLISHMENT: Chest X-ray, CBC,
Urinalysis, Fecalysis (1 original)
Laboratory Results for PUBLIC Any Licensed / Accredited Laboratory
ESTABLISHMENT: Chest X-ray, CBC,
Urinalysis (1 original)
Laboratory Results for INDUSTRIAL Any Licensed / Accredited Laboratory
ESTABLISHMENT: Chest X-ray, CBC,
Urinalysis (1 original)
Laboratory Results for VIDEOKE BARS AND Any Licensed / Accredited Laboratory
OTHER NIGHT ESTABLISHMENTS: Chest
X-ray, CBC, VDRL/RPR, Urinalysis,
Fecalysis (1 original)
Food Handler’s Certificate, as appropriate (1 Municipal Health Services Office (Every
original) Tuesday, 3PM – certificate is valid for 3 years)
Health Certificate, as appropriate (original) Sanitation Division

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Get number 1. Issue client 1 Minute Sanitation
number Inspectors
2. Submit 2.1 Evaluate / Verify 1 Minute Sanitation
requirements to requirements Inspectors
Sanitation 2.2 Process Health 5 – 10
inspector on Duty Certificate minutes

3. Pay the required 3.1 Accept the Php50.00 3 Minutes Sanitation

fees. *Make sure payment based Inspectors
to secure Official on the Order of
Receipt that will be Payment
issued upon 3.2 Issue the Official
payment Receipt
4. Claim Health 2. Release Health 1 - 2 Minutes Sanitation
Certificate Certificate and Inspectors

25
 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
Record
TOTAL 11 - 16
Minutes

Processing / Issuance of Death Certificate / Issuance of Exhumation Permits /

Transfer of Cadavers
Based on the guidelines for Filipino Physicians and with the presence of SOCO and NBI,
death certification of all suspicious / violent / Medico-legal deaths outside hospitals are
catered by the Physicians of the previously mentioned institutions. Physicians at the
MHSO are certifying natural (sickness / aging) home deaths. The Local Health Officer
then reviews all death certificates.
The Office is also issuing exhumation and transfer certificates given that the sanitary
conditions and or requirement are met before the exhumation or transfer of a dead
person’s remains.

Office or Division: Municipal Health Services Office – Sanitation Division

Classification: Simple
Type of Transaction: G2C – for government services whose client is the transacting public
Who may process: - Immediate family member of the deceased
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Blank Death Certificate Form (4 pieces) Municipal Civil Registrar Office
Certification from the Barangay Official on Barangay Hall
Duty indicating the name of the deceased,
date of death, place of residence, not
attended by MD, due to natural cause i.e.
sickness, no suspicion or foul play (1 original)
Official Medical Records / Medical Certificate Hospital / Clinic
at least 10 years before death (1 original)
Additional Requirements for late registration: Public Attorney
- Affidavit of 2 disinterested persons
- Affidavit of Nearest Kin
Authorization letter and valid ID (1 original, 1
photocopy), if immediate family member is
not available

FEES TO BE PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
1. Get number 1. Issue client 1 Minute Sanitation
number Inspectors
2. Submit 2. Evaluate / Verify 1-5 Minutes Sanitation
requirements to requirements Inspectors
Sanitation
inspector on Duty

26
 FEES TO BE PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS
PAID TIME RESPONSIBLE
3. Proceed to the 3. Performs history 10 – 20 Nurses,
Consultation Room taking and Minutes Medical
interview to the Doctors
immediate family
member
4. Wait for evaluation 4. Processing 5 Minutes Medical
/ processing (encoding & Doctors,
signing) of Death Sanitation
Permit Inspectors
5. Claim Death 5. Release Death 1 Minutes Sanitation
Certificate Certificate and Inspectors
Record
TOTAL 18 – 32
Minutes

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FEEDBACK AND COMPLAINTS MECHANISM

How to send feedback 1. Verbal feedback of clients: direct to service provider

2. Written feedback: Answer the client feedback form and
drop it at the designated drop box in front of the Triage
Area / PACD
How feedbacks are processed Every Month, the Human Resource Officer opens the drop
box and compiles and records all feedback submitted.
Feedback requiring answers are forwarded to the person
or division and they are required to answer within three (3)
days of the receipt of the feedback.
How to file a complaint Answer the client Complaint Form and drop it at the
designated drop box in front of the Triage Area / PACD.
Complaints can also be filed via telephone. Make sure to
provide the following information:
- Name of person being complained
- Incident
- Evidence
For inquiries and follow-ups, clients may contact the
following telephone number: 620-5907.
How complaints are processed The Human Resource Officer opens the complaints drop
box on a monthly basis and evaluates each complaint.
Upon evaluation, the HR shall start the investigation and
forward the complaint to the relevant office for their
explanation.
The HR will create a report after the investigation and shall
submit it to the Head for appropriate action.
Contact Information MHSO: (074) 620-5907

28