PhilHealth Annex B.1 Health Human Resource Survey Tool for PhilHealth Konsulta Provider
Fill PhilHealth Annex B.1 Health Human Resource Survey Tool for PhilHealth Konsulta Provider 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: Name of facility, Date of Assessment, Address, Total Number, Total Number of Hours per Week, A. Physician, B. Nurse, C. Midwife, Prepared by, Designation, Attested correct by, Head of Facility/ Medical Director/ Chief of Hospital.
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.
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.
Fill PhilHealth Annex B.1 Health Human Resource Survey Tool for PhilHealth Konsulta Provider now