medConnect — Create Patient Account

Email Verification

Identity & Residency

Patient Form

Step 1 — Email Verification

Enter your email address. We'll send a 6-digit OTP to verify it.

Email Address *

Step 1 — Identity & Residency

Fill in your basic details and verify your National ID to confirm Bago City residency.

Personal Information

First Name *

Middle Name (optional)

Last Name *

Date of Birth *

Age (auto-computed)

Gender *

Civil Status *

Address

Region *

Province *

City / Municipality *

Barangay *

National ID Verification

National ID Number *

Upload National ID Image *

Upload a clear photo of your National ID. The system will verify your details and confirm Bago City residency.

Drag your National ID here JPG, PNG, PDF — max 5 MB

Choose File

Complete National ID verification to enable this button.

Patient Form

Complete your health profile. Bago City residency confirmed.

Bago City Verified

Account Login Information

Email Address

✓ Verified via OTP

Password *

Confirm Password *

Socio-Economic Information

Employment Status *

Monthly Income Bracket *

Contact & Health Information

Contact Number *

PhilHealth Status *

Medical History

Blood Type *

Existing Medical Conditions (optional)

Known Allergies (optional)

Current Medications (optional)

Your information is protected under Data Privacy Act of 2012 and used solely for healthcare purposes by City Health Office of Bago City.

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For emergency cases, please proceed to the nearest healthcare facility immediately.