Healthway - Card Management System

Registration

Member Information

Where did you get your cards? *

Organization Type *

Personal

Corporate/Company/LGU

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

Province *

City/Municipality *

Barangay *

TERMS & CONDITION AND PRIVACY STATEMENT

As a registrant and participant in the Healthway Medical Network (HMN) CareCard Program, I hereby knowingly, freely, and voluntarily give my consent to the collection, use, storage, and sharing of my personal and sensitive personal information for legitimate and declared purposes, in accordance with Republic Act No. 10173 or the Data Privacy Act of 2012, its Implementing Rules and Regulations (IRR), and other relevant issuances.

DECLARATION AND SIGNATURE
By clicking “I Agree” during registration, I confirm that:

I have read and understood the contents of this Data Privacy Consent Form .
I voluntarily consent to the collection, use, storage, and sharing of my data as specified herein
I am at least 18 years of age or have secured the consent of my parent or legal guardian

Agree to terms and conditions

You must agree before submitting.