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Annex B Professional Commitment for Health Care Professionals

PhilHealth commitment for healthcare professionals

Health Care Professional Provider Data Record

PhilHealth provider data record form for healthcare professionals

PDR Health Care Institution Provider Data Record

PhilHealth provider data record form for health care institution

MMHR Monthly Mandatory Hospital Report

PhilHealth report form for hospital monthly mandatory

SOI Statement of Intent (Initial/Re-accreditation)

PhilHealth intent statement for initial or re-accreditation of health care facilities

Annex A Performance Commitment for HCI

Philhealth performance commitment for health care institutuions

Performance Commitment with Additional Provision for PCB1 Providers

Philhealth performance commitment for primary care benefit 1

BIR Form No. 2306 Certificate of Final Income Tax Withheld

A Certificate to be accomplished and issued by a Payor/WA to each recipient of income subjected to final tax. The column amount of payment should indicate the total amount paid and the total taxes withheld and remitted during the period.

BIR Form No. 2551M Monthly Percentage Tax Return

This BIR return shall be filed in triplicate by the following: Persons whose gross annual sales and/or receipt do not exceed P1,500,000 and who are not VAT-registered persons; Domestic carriers and keepers of garages, except owners of bancas and owners of animal-drawn two wheeled vehicle; Operators of international air and shipping carriers doing business in the Philippines; Franchise grantees of gas or water utilities; Franchise grantees of radio and/or television broadcasting companies whose gross annual receipts of the preceding year do not exceed Ten Million Pesos (P10,000,000.00) and did opt to register as VAT taxpayers; Banks, non-bank financial intermediaries and finance companies; Life insurance companies;and Agent of foreign insurance companies.

Form Guide: GRANT OF ELIGIBILITY UNDER SPECIAL LAWS