PhilHealth Cf-1
Fill PhilHealth Cf-1 online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: Series #, PhilHealth Identification Number (PIN) of Member, Last Name, First Name, Name Extension, Middle Name, Date of Birth, Unit/Room No./Floor, Building Name, Lot/Blk/House/Bldg.No, Street, Subdivision/Village.
The form is the agency's own, from philhealth.gov.ph (checked 2026-10-14): the PDF you download is that form with your values printed in its boxes.
Part of the form pack: A PhilHealth claim for a confinement (The downloads page lists Claim Form 1, member and patient information, revised September 2018. This blank is CF-1, revised September 2018).
The free clean PDF is that pack’s shortest form. A later form in the same pack needs the Starter plan (₱499) or above. Preview, check, and verify stay free. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.