2024 04 16 ADVISORY HRDU Process and Requirements For New and Renewal Applications For The Provisional Certification of PCW

Process Flow on Granting
Provisional Certificate in Primary Care
ACCOUNT CREATION COMPLETION OF COURSES
To access the required PCWs must complete the

courses for the Provisional following DOH Academy courses:
Certificate, PCWs must create
an account on the DOH 1. UHC Implementers’ Course
eLearning Platform. (Open Access)
(https://learn.doh.gov.ph) 2. Integrated Course on
Primary Care
Total of Thirteen (13) certificates.
APPLICATION FOR THE ISSUANCE OF THE

PROVISIONAL CERTIFICATE PROVISIONAL CERTIFICATE
PCWs must accomplish the Upon verification of the
online application form submitted requirements, the
(bit.ly/2024PCWapplication) Health Human Resource
with the following Develelpoment Bureau
documentary requirements: (HHRDB) will issue a
Provisional Certificate to the
1. Accomplished Applicant’s qualified Primary Care Worker.
Informantion Sheet
(https://bit.ly/PCWAIS)
2. Proof of Employment
a. Latest Certificate of
Employment (Private For inquiries and concerns:
facilities)
b. Endorsement letter of [email protected]
applicant (Public facilities) (02) 873 17 578 loc. 4250-4254
3. Certificate of
Completion from the
required courses on Step 2
Process Flow on Renewal of
Provisional Certificate in Primary Care
LOG IN ACCOUNT COMPLETION OF COURSES
To access the required PCWs must complete the

courses for the Provisional following DOH Academy courses:
Certificate, PCWs must log in
to their account on the DOH 1. UHC Implementers’ Course
eLearning Platform. (Open Access)
(https://learn.doh.gov.ph) 2. Integrated Course on
Primary Care
Total of Thirteen (13) certificates.
APPLICATION FOR THE ISSUANCE OF THE RENEWED

PROVISIONAL CERTIFICATE PROVISIONAL CERTIFICATE
PCWs must accomplish the online Upon verification of the
application form submitted requirements, the
(https://bit.ly/PCWCPRenewal) Health Human Resource
with the following documentary Develelpoment Bureau
requirements: (HHRDB) will issue a renewed
Provisional Certificate to the
1. Accomplished Applicant’s qualified Primary Care Worker.
Informantion Sheet
(https://bit.ly/PCWAIS)
2. Proof of Employment
a. Latest Certificate of
Employment (Private facilities) For inquiries and concerns:
b. Endorsement letter of
applicant (Public facilities) [email protected]
4. Expired Provisional (02) 873 17 578 loc. 4250-4254
Certification as Primary Care
Worker for Universal Health
Care
Republic of the Philippines
DEPARTMENT OF HEALTH
PRIMARY CARE WORKERS’ CERTIFICATION PROGRAM
APPLICATION FORM
APPLICANT’S PERSONAL INFORMATION
Name (Last Name, First Name, Middle Name) Suffix/ Extension Name Sex
☐Male
☐Female
Date of Birth (mm/dd/yyyy) Age Citizenship Civil Status
☐Filipino ☐Single ☐Widowed
☐Dual Citizenship; ☐Married ☐ Separated
Country:_________ ☐Others: ____________
Active Mobile Number Active Email Address
Office Email: Personal Email:
Profession PRC License
Number: _____________ Date of Issuance: ____________ Date of Expiration:_____________
EDUCATIONAL BACKGROUND (Most Recent)

Period of Attendance Highest Level/
Year
Level Name of School Degree/ Course Units Earned if
Graduated
From To not graduated
Graduate Studies
Tertiary
PRESENT WORK EXPERIENCE/ HEALTH FACILITY INFORMATION
Position Title Name of Facility Type of Facility
☐Rural Health Unit ☐Private Medical Clinics
☐Municipal/City/Provincial Health Office
☐Birthing Home ☐Hospital/Infirmary
Status of Employment Type of Ownership ☐Barangay Health Station
☐Private-owned ☐Government-owned ☐Others, pls. specify: ___________
PhilHealth eKonsulta Accredited
☐Yes ☐No
Complete Address of the Health Facility Region:
(Floor, Building Name, No., Street, Barangay, Municipal/City, Province, Postal Code)
Province:
Municipality/ City:
CURRENT ROLES AND RESPONSIBILITIES (Use separate paper, if necessary)
I hereby declare that all of the submitted documents and information provided with this application form are true,
correct, and complete pursuant to the provisions of pertinent laws, rules, and regulations of the Republic of the
Philippines.
I authorized the agency head/ authorized representative to verify/ validate the content stated herein.
_________________________________ ___________________
Applicant’s Signature Over Printed Name Date
DOH-PCP-Applicants Information Sheet (Form 1)

Revision 2
December 2022
Endorsement of Primary Care Workers’ Certification Applicants
[Date]
FOR : JOHANNA S. BANZON, RN, MscIH, DTMPH

Director IV
Health Human Resource Development Bureau
FROM: : [Name of Head of Office]

[Position]
[Name of Provincial/City Health Office]
This is to formally endorse and attest that the following individuals are currently
working/employed in a primary care facility and have applied for the primary care workers’
certification.
Name Profession Name of Contact Number Email Address

Primary Care
Facility
Midwife
Nurse
Physician
Thank you.

2024 04 16 ADVISORY HRDU Process and Requirements For New and Renewal Applications For The Provisional Certification of PCW

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2024 04 16 ADVISORY HRDU Process and Requirements For New and Renewal Applications For The Provisional Certification of PCW

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Process Flow on Granting

Provisional Certificate in Primary Care

ACCOUNT CREATION COMPLETION OF COURSES

To access the required PCWs must complete the

APPLICATION FOR THE ISSUANCE OF THE

LOG IN ACCOUNT COMPLETION OF COURSES

To access the required PCWs must complete the

APPLICATION FOR THE ISSUANCE OF THE RENEWED

EDUCATIONAL BACKGROUND (Most Recent)

DOH-PCP-Applicants Information Sheet (Form 1)

FOR : JOHANNA S. BANZON, RN, MscIH, DTMPH

FROM: : [Name of Head of Office]

Name Profession Name of Contact Number Email Address

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