Philhealth Registration Form

Manual Registration Procedures

1. Fill-out two (2) copies of the PhilHealth Member Registration Form

2. Submit PMRF to the nearest LHIO together with the following documents:

  • Two (2) 1×1 latest ID picture,
  • Two valid IDs; and
  • Any of the following documents:
    • For SSS pensioners
      • Photocopy of Death, Disability and Retirement (DDR) indicating the date of retirement and effectivity date of pension
      • Photocopy of the Retiree/Pensioner Certification indicating the effectivity date of retirement
    • For GSIS pensioners
      • Photocopy of Certification/Letter of Approval of Retirement indicating the effectivity date of retirement
      • Photocopy of Service Record issued by the employer showing rendered services of not less than 120 months
      • Photocopy of Certification/Retirement Gratuity from the employer indicating services of not less than 120 months
      • Photocopy of retirement voucher issued by GSIS
    • For Uniformed personnel of AFP, PNP, BJMP and BFP
      • Photocopy of General/Special or Bureau Order indicating effectivity date of retirement
      • Photocopy of Certification/Letter of Approval of Retirement from the GSIS indicating services of not less than 120 months
      • Photocopy of Statement of Services issued by previous employer showing service of not less than 120 months
    • GSIS Disability Pensioner / SSS Permanent Total Disability Pensioner before March 4, 1995
      • Photocopy of Death, Disability and Retirement (DDR) indicating the date of retirement and effectivity date of pension
      • Photocopy of Disability Pensioner Certification issued by SSS/GSIS indicating effectivity date of pension or the period of coverage for disabled pensioner.
    • SSS Survivorship Pensioner before March 4, 1995
      • Photocopy of Death, Disability and Retirement indicating the type of survivorship in nature and the effectivity date of pension
      • Photocopy of Survivorship Pensioner Certification indicating the effectivity date of pension
    • Other individuals who are not under the abovementioned categories
      • Photocopy of official receipts of premium payments to PhilHealth
      • Any other documents indicating the months of premium payments to PhilHealth

3. Await Member Data Record (MDR) and PhilHealth ID Card

How to Apply for PhilHealth Online?

Philhealth Registration Form – PhilHealth now makes it easier for aspiring members to apply online. Here’s how:

Step 1: Visit PhilHealth website and click the Online Services link.

You can also visit Philhealth Electronic Registration System at https://eregister.philhealth.gov.ph

Step 2: Click the Register link in the Electronic Registration section under Membership.

A new window will pop up.

Step 3: Once you reached the PhilHealth Electronic Registration System page, click Proceed.

Read the terms and conditions. Once done, tick the checkbox to confirm that you understood the terms.

After that, click Accept.

Step 4: Fill out the PhilHealth online application form

And make sure all these items are filled out:

  • Personal Information
  • Contact Details
  • Address
  • Dependents Information
  • Guardian Information
  • Membership Category Information
  • Upload Documents (optional)

Note: Single individuals may list the name of their parents who are aged 60 years or older as dependents. Married individuals may list their spouse and their children.

Step 5: Upload supporting documents

Documents such as birth certificate, passport or driver’s license. Scan these documents and save as JPEG, PNG, GIF or PDF, then upload one by one.

Step 6: Review all information before proceeding.

For verification and security purposes, enter the Captcha code. Refresh if not legible.

Step 7: Tick the checkbox to confirm that all information entered are correct and accurate.

After this, click Submit Registration.

Step 8: Wait for the confirmation e-mail upon completion of the registration.

Your PhilHealth number will also be sent to you.

How to Register as a Voluntary Member?

Self-employed or citizens with businesses may acquire membership in the insurance program through the following steps:

1. Visit the nearest PhilHealth branch in your area.

2. Ask for two (2) PhilHealth Member Registration Forms and fill out all necessary details.

This form is also downloadable in the website.

3. Submit the form along with the following requirements:

  • One (1) photocopy of NSO-issued Birth Certificate
  • Valid identification cards (TIN ID, driver’s license, passport, or any document providing your or the applicant’s identity)
  • Foreigners should submit one (1) photocopy of the Alien Certificate of Registration

4. Once completed, wait until the PhilHealth number is released by the authorized officer.

5. Pay for the designated contribution for voluntary member