Get Pmrf Form

Filling out the PhilHealth Member Registration Form (Pmrf) online is a straightforward process designed to help users provide essential personal and health information. This guide will walk you through each section of the Pmrf Form to ensure your submission is complete and accurate.

Follow the steps to successfully complete the Pmrf Form online.

1. Click the ‘Get Form’ button to access the Pmrf Form. This will allow you to open the document in your preferred online editor.
2. Begin with the Member Information section. Fill in your last name, first name, middle name, and name extension if applicable. If you are a married female, provide your full maiden name as well.
3. In the Contact Information section, input your landline number, mobile number, email address, nationality, and Tax Identification Number (TIN). Ensure your contact details are current so that PhilHealth can reach you if necessary.
4. Proceed to the Declaration of Dependents. List your legal spouse's information, including their PhilHealth Identification Number, name, date of birth, and gender. If applicable, repeat for children under 21 years or those with permanent disabilities, making sure to mark any disabilities clearly.
5. Move on to the Membership Category section. Select your appropriate category by marking the checkbox next to your situation, such as Formal or Informal Economy or Indigent, and provide additional information as required.
6. Review your entries to ensure all information is accurate. Affix your signature over your printed name where indicated to certify that the information provided is true.
7. Finalize your submission by saving changes to the form. You can either download a copy for your records, print it out, or share it electronically, depending on your needs.

Complete your Pmrf Form online today to ensure your health benefits are accessible.