BLANK FORMS
Clinical Laboratory Service Request Form (PDF format, 1.8MB)
Echocardiography, Vascular, Ultrasonography, and Radiographic Request Form (PDF format, 400KB)
HEALTH PACKAGES
Executive Check Up (PDF format, 500KB)
Routine Check Up (PDF format, 500KB)
BINONDO BRANCH - CLOSED MARCH 30 to APRIL 5 - FOR RENOVATION) DEL MONTE BRANCH - CLOSED APRIL 2 to APRIL 4
Intercon encourage you to apply I.D. Registration Number (with blood type) for easy accessibility of your on line blood test result.