Sample PhilHealth Request Letter

Due to numerous requests for a sample request letter that may be used for PhilHealth transactions, we have devised this template for requesting:

• Issuance of PhilHealth ID Card;
• Issuance of Member Data Record (MDR);
• Certificate of Premium Payment (CPP);
• Certification for lost payment receipt.

This is free to download and use, however, note that this template did not come from nor is it mandated or required by PhilHealth. The letter is in PDF format so you may need a PDF reader if your PC doesn't have one installed like Adobe Reader.

You may download the template here or click the image below.