Registration
Member Information
Where did you get your cards?
*
I bought it in Healthway QualiMed Hospitals
I bought it in Healthway Multi-Specialty Centers
It was given to me by our HR/Company
It was given to me by our LGU/ Mayor
It was given to me by a relative
It was given to me during an event
Organization Type
*
Personal
Corporate/Company/LGU
Organization Name
Card No.
*
Pin
*
To complete your registration, scratch the small silver box below the Care Card number with a coin to reveal the four-digit one-time password.
First name
*
Middle name
Last name
*
Mobile Number
*
Eg. 0999*******
Email Address
*
Date of Birth
*
Gender
*
Male
Female
You are a minor. Please Indicate your parent's or guardians name.
Guardian
*
Guardian Mobile Number
*
Eg. 0999*******
Province
*
Pick a Province
City/Municipality
*
Pick a city
Barangay
*
Pick a Barangay
TERMS & CONDITION AND PRIVACY STATEMENT
Data Privacy Consent Please read Healthway Medical's "Privacy Statement" to understand how we handle Personal Data.
Your election to use the Patient Registration System indicates your acceptance to Healthway Medical's Privacy Statement.
You may read it here:
https://healthwaymedicalnetwork.com.ph/privacy-policy/
Agree to terms and conditions
You must agree before submitting.
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