Agimat Account Creation

Request a new account for the hospital system

Email Address

Department Select your department Accounting Admin Admitting APE Billing Cardio Canteen Cashier CT-Scan CSR CQI EKONSULTA ER HMO HR HOMES Information Laboratory Linen Maintenance Medical Records NICU NSO OPD OPD-Encoder OPD-HMO OPD-Screener OR Pharmacy Philhealth Purchasing Releasing Security Social Service Station 3 Station 4b Station 5a Station 5b Ultrasound Xray Others

First Name

Middle Name

Last Name

Position / Job Title

PRC License (If applicable, include expiration date)

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