Clonee Care Center Teleconsult Registration Form (Current)

  • Care+Center Teleconsult Registration Form

    Primary care and specialty consultations, right at the comfort of your home.

  • Care+Center Teleconsult service operates daily, even on Holidays, unless otherwise advised.

    Mondays to Saundays - 8 AM to 7 PM

     

    IMPORTANT : This service applies to patients with NON-EMERGENCY CONCERNS.

     

    If you have any concerns or inquiries, you may contact our numbers below:

    09455774719

    09954324800

    09989680462

    09985395821

  • * Required Fields

  • Will you be using an HMO card?*
  • Select HMO provider:*
  • Please be informed that your HMO is not an accredited provider for our Teleconsult service at the moment. If you would like to push through and pay instead, kindly select the proceed option below:*

  • Thank you for your interest in Care Center Teleconsult service! We apologize that we are not able to serve you at this time. If you have any concerns or inquiries, you may contact our numbers below:

    Care+Center ( Previously Keralty ) Teleconsult Service: 09669550092 or 09954324800 

    Care+Center ( Previously Keralty ) Clinic in SM Megamall (MegaClinic): 09190819115

    Care+Center ( Previously Keralty ) in Festival Mall Alabang (MetroSanitas): 09284835310

    Care+Center ( Previously Keralty ) in Gateway Mall: 09190872198

     

    Please also find below our other services that you may find useful:

    To set a clinic appointment for in-person consultation or to have tests/procedures done: https://carecenter.clinic/keralty-appointments/

     

     

    THANK YOU AND STAY SAFE!

    The Care Center Team

  • Your consultation needs

  • Select from the available specialties:
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  • Select preferred schedule:*
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  • NOTE : Requests for medical certificates, medical clearances, and nutritional plans entail additional charges.

     

  • HMO information

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  • For Avega cardholders, members are required to coordinate directly with an Intellicare/Avega representative to secure an approval for the teleconsult service. You may contact Intellicare/Avega through the following numbers:

    8-789-4000

    09175223124

     

    You may also ask for an approval via email at autoserv.csd@intellicare.com.ph:

    Indicate Subject: RCS-REQUEST 00-00-00000-00000-00 (Availer’s Account no. must be based on format, dash sign included.)

    Ex: RCS-REQUEST 80-00-00123-00001-00.

    You will be provided a set of guidelines and a template to fill out. Make sure to comply with all directions.

    Attach these documents together with the duly filled up template.

                 a. Government ID with picture (PDF/photo file type: .jpeg, .png) 

                 b. Intellicare card (PDF/photo file type: .jpeg, .png)

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  • Personal information

  • Sex:*
  • Birthdate:*
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    • Click to read Terms and Conditions and Data Privacy Statement 

    • About Care+Center Teleconsult service and its terms and conditions

      • The Care+Center Teleconsult will be given by licensed physicians. It is not a substitute to a face-to-face consultation. 

      •  After requesting for the service, and paying in case of out-of-pocket patients, our staff will be contacting you to finalize your appointment schedule.

      •  A link will be emailed to you for the video conference. Please click on the link to join the conference at the appointed time of consultation.  

      •  You may review the Care+Center Teleconsult Terms and Conditions at this link.

      Data Privacy Consent

      The request of personal information on this online form is done with the sole purpose of processing and managing your request. In accomplishing the information requested, you agree that Metro Sanitas Corporation and/or its subsidiaries or shareholder companies will process these Personal Information relating to you. Such processing of Personal Information may include its collection, recording, updating, modification, retrieval, use, and retention. You are also consenting to: 1. Making your Personal Information available to the relevant employees of Metro Sanitas Corporation, its subsidiaries or shareholder companies, and any service provider that may be involved in the process and management of this event; 2. The processing of your Personal Information for generating statistical data relevant to this specific activity; 3. The retention by Metro Sanitas Corporation of your Personal Information for the period necessary for the purpose of this request. We will dispose of your Personal Information upon the lapse of the Personal Data Retention Period in accordance with applicable laws and regulations. You are entitled to certain rights in relation to the Personal Information that may be collected from you, including the right to access, correction, and to object to the processing of the same. Your information will be held securely and will not be made available to third parties others that the ones require to provide this service without your expressed consent. By ticking the checkbox below, you hereby certify that you understand the foregoing and that you are giving your consent to the processing of your Personal Information and Sensitive Personal Information under the terms and conditions provided above, and to contact you in case it is required to process your request.

    • Click to read Terms and Conditions and Data Privacy Statement 
    • How did you know about Care+Center? (You may select more than one)*

    • Payment Instructions

      You will be redirected to the payment site upon submission of this form. Please input the name of the patient on the space for customer name. A refund fee of PhP 60 will be charged for cancellations unless the fault is on us. *** NOTE FOR PWD ID HOLDERS, please disregard the payment site. We will contact you and a courtesy discount will be given before you make a payment.
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