Referring Laboratory Account

Registration

* Company Name
* Address
* Contact Person
* Contact Number
* TIN
Nature of Business
Private/Government
* Email
* Password
* Confirm Password
Please Email the following documents to: accounting@heartland.ph.
  1. Photocopy of DTI/SEC Certificate or Registration
  2. Photocopy of any Government/Valid ID (PRC, SSS, Driver's License, TIN or Passport) - at least two of the owner
  3. Photocopy of Business Permit
  4. Photocopy of BIR Registration
  5. Photocopy of DOH accreditation
  6. Photocopy of PRC License and Swabber Certificate of the Nurses/Medical Technologist who are conducting the test