Are you being assisted by a Kabayan agent?
If yes, please indicate the name:
In compliance with Republic Act 10173 also known as the Data Privacy Act of 2012; We need your consent to allow us to collect and process your information. We will only disclose and share your information with our accredited health care providers who may also be responsible in rendering our services to you.
Withholding or withdrawal of such Consent shall relieve us from our obligation to deliver the appropriate services to you.
You are afforded with certain rights and protection in accordance with the said Act and you may visit www.medicardphils.com/privacy or email firstname.lastname@example.org for more information.