Health Service Request

Request health services from Barangay Lumanglipa

Health Services

Complete the form below to request health services from Barangay Lumanglipa

Identity Verification *Required

Manual Input QR Code

Barangay ID *Required

Enter your registered Barangay ID to verify your information

To proceed with your document request, we need to verify your identity. An OTP (One-Time Password) will be sent to your registered email address.

Please verify your identity using Barangay ID or QR Code to access the form

Service Type *Required

Choose the type of health service you need

Appointment Type *Required

Choose whether you want to walk-in or schedule an appointment

Health Concern/Symptoms *Required

Provide detailed information about your health concern or reason for the service

Priority Level *Required

Select the urgency level of your health concern

Additional Symptoms (Optional)

Include any other symptoms or relevant medical information

Identity verification is required for all document requests (QR code verification skips email OTP)
All document requests will be reviewed by the Barangay Office
Processing time is typically 1-3 business days
You will be notified once your request is approved
Make sure all information provided is accurate and complete