Our Services
Availment Process for
HPDAI Card Holders
Availment Process for
NON-HPDAI
Card Holders
Requirements for
Dental Clinic Affiliation
Basic Dental Services
Hit Statistics
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Health Partners Dental Access Inc.
Requirements for Dental Clinic Affiliation
Letter of Intent
*Download Letter of Intent
Comprehensive Curriculum Vitae with picture & character references
Photocopy of Professional License and PRC Certificate
Photocopy of Business Licenses and Permit for partnership and Corporations
Photocopy of Certificates of Training (postgraduate courses, if applicable)
Pictures of Clinic Facilities, Location Map of clinic to nearest establishment (landmark)
Clinic contact numbers/ email address (if any)
Bank Account (for remittance of dental claims, preferably BPI)
BIR Certificate of Registration (BIR Form No. 2303)
Scanned Copy of the Clinic's Official Receipt
Filled up Dentist information sheet. (if multiple clinics, please fill up 1 form per clinic)
*Download Dentist Information Sheet
List of Dental Services with Fees
Signed Dental Clinic Affiliation Conditions (DCAC) :
*Download Dental Clinic Affiliation Conditions
Certificate of Registration with Securities and Exchange Commission for partnership and corporation
*Submit all requirements to info@healthpartnersdental.com
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