Schedule of Availability of Service:

                Monday to Friday

                8:00 a.m. – 5:00 p.m.

 Who may avail the Service:

  1. Travelers going to countries with risk for Poliomyelitis Transmission
  2. Foreigners/ aliens coming from Polio Endemic Areas (Referral from Medical and Physical Examination Section)

 What are the Basic Requirements:

  1. Duly accomplished Data Form or referral form from MPES
  2. Vaccination Fee: Php 300.00


                15 minutes

How to Avail of the Service:

Step Applicant/ Client Service Provider Duration of Activity

(Under Normal Circumstances)

Person in Charge Fees Form
1 Fill-out Data Form   Refer to screening nurse 1 minute Designated Personnel   Data Form or

Referral form

2 Answer necessary questions regarding their health status Verify the information in the form;

Screen for any contraindications; Health education

1 minute Screening Nurse   Data Form or

Referral Form

3 Submit the Data Form/ Referral Form to Nurse Re-validation of the requested vaccine;

Re-validation of any contraindications and medical conditions; Prepares the vaccine; Administration of vaccines on appropriate route.

Administering nurse for signature

2 minutes Vaccination Nurse   Data Form or

Referral Form

4 Pay to the cashier and claim official receipt Process payment and issue Official Receipt 1 minute Cashier P300.00


Official Receipt
5 Submit Data Form Validation of payment;

Verification and encoding of information provided in the ICV;

Printing of International Certificate of Vaccination, for QMO’s signature;

Encoding of client’s data in the record

3 minutes Admin. Staff (Encoder)   Official Receipt


Data Form or Referral Form


International Certificate of Vaccination (ICV)

6 Claim International Certificate of Vaccination Signing of the International Certificate of Vaccination;

Observation of any Adverse Effect Following Vaccination (AEFV);

Health Education or advisories

7 minutes Quarantine Medical Officer   International Certificate of Vaccination