Our Services
Availment Process for
HPDAI Card Holders
Basic Dental Services
Requirements for
Dental Clinic Affiliation
Availment Process for
NON-HPDAI
Card Holders
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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
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)
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
*Submit all requirements to csr@healthpartnersdental.com
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