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PCSO - List of Requirements

The document outlines the requirements for PCSO assistance, listing essential documents needed such as a Medical Abstract, Statement of Account, Itemized Hospital Bill, and various letters and IDs. Each requirement is specified for both the patient and their representative, including a police report for vehicular accidents. The list is repeated multiple times, emphasizing the importance of these documents.

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Guimba General
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1K views2 pages

PCSO - List of Requirements

The document outlines the requirements for PCSO assistance, listing essential documents needed such as a Medical Abstract, Statement of Account, Itemized Hospital Bill, and various letters and IDs. Each requirement is specified for both the patient and their representative, including a police report for vehicular accidents. The list is repeated multiple times, emphasizing the importance of these documents.

Uploaded by

Guimba General
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PCSO requirements PCSO requirements

1. Original/Certified true copy 1. Original/Certified true copy of Medical


Medical Abstract Abstract
2.Original Copy of Statement of Account 2. Original Copy of Statement of Account
3. Itemized Hospital Bill 3. Itemized hospital bill
4. Notarized Promissory Note 4. Notarized Promissory Note
(for discharged patient) ( for discharged patient)
5. Acceptance letter from hospital 5. Acceptance letter from hospital
6. Referral letter from hospital 6. Referral letter from hospital
Social Worker Social Worker
7. Photo copy of Valid ID 7. Photo copy of Valid ID
(patient and representative) (patient and representative)
8. Authorized Letter from patient 8.Authorized Letter from patient
(if representative is not an immediate (if representative is not an immediate
Family member) family member)
9.Police report (Vehicular Accident) 9. Police report (Vehicular Accident)

PCSO requirements PCSO requirements


1. Original/Certified true copy 1. Original/Certified true copy of Medical
Medical Abstract Abstract
2.Original Copy of Statement of Account 2. Original Copy of Statement of Account
3. Itemized Hospital Bill 3. Itemized hospital bill
4. Notarized Promissory Note 4. Notarized Promissory Note
(for discharged patient) ( for discharged patient)
5. Acceptance letter from hospital 5. Acceptance letter from hospital
6. Referral letter from hospital 6. Referral letter from hospital
Social Worker Social Worker
7. Photo copy of Valid ID 7. Photo copy of Valid ID
(patient and representative) (patient and representative)
8. Authorized Letter from patient 8.Authorized Letter from patient
(if representative is not an immediate (if representative is not an immediate
Family member) family member)
9.Police report (Vehicular Accident) 9. Police report (Vehicular Accident)

PCSO requirements PCSO requirements


1. Original/Certified true copy 1. Original/Certified true copy of Medical
Medical Abstract Abstract
2.Original Copy of Statement of Account 2. Original Copy of Statement of Account
3. Itemized Hospital Bill 3. Itemized hospital bill
4. Notarized Promissory Note 4. Notarized Promissory Note
(for discharged patient) ( for discharged patient)
5. Acceptance letter from hospital 5. Acceptance letter from hospital
6. Referral letter from hospital 6. Referral letter from hospital
Social Worker Social Worker
7. Photo copy of Valid ID 7. Photo copy of Valid ID
(patient and representative) (patient and representative)
8. Authorized Letter from patient 8.Authorized Letter from patient
(if representative is not an immediate (if representative is not an immediate
Family member) family member)
9.Police report (Vehicular Accident) 9. Police report (Vehicular Accident)

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