REQUIREMENTS

For Medicines & Medical Supplies:

• Original or Certified True Copy of Medical Certificate (for outpatient) or Clinical Abstract (for confined patient) with complete name, signature and license number of the attending doctor (with 3 months validity or issued not less than 3 months)
• Latest and original prescription of the patient with complete name, signature and license number of the attending doctor (with 3 months validity or issued not less than 3 months)
• Original or Certified True Copy of Barangay Certificate of Indigency of the patient (with 3 months to 6 months validity)
• One (1) photocopy of any Government Issued Valid ID (preferably QCitizen ID) of patient or his/her representative or claimant 

For Medical Laboratories:

• Original or Certified True Copy of Medical Certificate (for outpatient) or Clinical Abstract (for confined patient) with complete name, signature and license number of the attending doctor (with 3 months validity or issued not less than 3 months)
• Latest and original laboratory request with price quotation and complete name, signature and license number of the attending doctor (with 3 months validity or issued not less than 3 months)
• Original or Certified True Copy of Barangay Certificate of Indigency of the patient (with 3 months to 6 months validity)
• One (1) photocopy of any Government Issued Valid ID (preferably QCitizen ID) of patient or representative or claimant 

STEPS:

1. Visit the Information Desk at the District Action Center near you.
2. Present documentary requirements.
3. Undergo an intake interview.
4. You can get Mercury Drug gift certificate or cash as medical assistance.

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CONTACT INFORMATION:

SOCIAL SERVICES DEVELOPMENT DEPARTMENT
SSDD@quezoncity.gov.ph
8988 4242 local 8863

REFERENCE:
SOCIAL SERVICES DEVELOPMENT ASSISTANCE