LCM Diagnostics - Home Service

Home Service

LCM Diagnostics provides home service for the comfort and convenience of its patients. To set for an appointment, you may call or email us or fill-up form below and we will call you back as soon as possible.

+63(2) 8844-6828, 8843-5836, 8893-9273, 8893-2974

You may email us at:

lcmdiagnostics@yahoo.com.ph

and we will reply as quickly as possible.

Home Service Request Form

Patient ID / Date of Birth

If you already have previous transactions or record with us, kindly provide the above information. The rest of the forms will be automatically filled-in for you. If you find discrepancies in the information stored in our database, you may be able to update it.

Last Name

First Name (incl. Suffix)

Middle Name

Date of Birth

Gender

Complete Address

Landline

Mobile

Requesting Doctor(s)

Tests Requested

If you have your doctor's request and able to read it, please enter the test requested in the space provided above, otherwise, leave it blank.

Prefered Schedule

I would be paying