Assistance Programs
Issuance of General Intake Sheet (Medical Assistance)
The CSWDO conducts an initial assessment and issues a General Intake Sheet for medical-assistance needs.
Service at a Glance
Individuals and families in the community who need an initial assessment to avail of programs and services
Before You Apply
Requirements
Prepare these requirements before visiting the office.
- 1
Barangay Certificate of Residency or Barangay Indigency of the client and beneficiary (1 original)
Where to secure: Respective Barangay
- 2
Hospital request, bill, or costing of the client (1 original and 1 photocopy)
Where to secure: Hospital where the client was admitted
- 3
Medical Certificate or Clinical Abstract (1 original and 1 photocopy)
Where to secure: Hospital or doctor
- 4
Applies only: Submit one accepted identification document
Photocopy of Voter's ID, Voter's Certification, or another accepted valid ID with specimen signature of the client
Where to secure: Requesting client or issuing agency
Steps
How to apply
- 1
Visit the CSWDO, obtain a queue number, wait for your turn, and ask about the service requirements.
- 2
Participate in the assessment interview, answer the questions, and wait for the decision.
- 3
Upon approval, receive the General Intake Sheet and sign the logbook to acknowledge its release.
Important
Important notes
- Assessment and issuance of an intake sheet do not guarantee medical assistance, funding, or a benefit amount.
Official source and verification
This service record was reviewed on 2026-09-01 from City Government of San Fernando, Pampanga Citizen's Charter 2026 (2nd Edition). BetterSanFernando is independent and is not the official City Government website. Confirm current requirements with the official source or office before applying.