Be a Medical Staff (Consultant)

DLSUMC Medical Staff Credentials Checklist

  • Accomplished application form
  • Passport size photo (2 pcs)
  • Curriculum Vitae
  • Letter of intent addressed to the Medical Director
  • Declaration of good standing
  • Affirmation of competence from two (2) doctors
  • Delineation of clinical privileges

Photocopy of the following:

  • Specialty board certification
  • Sub-specialty board certification (if applicable)
  • Certification of fellowship training (if applicable)
  • Certificate of residency training
  • Certificate of internship
  • Medical diploma
  • Physician licensure certificate
  • Current PRC Identification Card
  • Narcotic (S2) license card (if possible)
  • PhilHealth Accreditation ID
  • Tax Identification Number (TIN) / Certificate of Registration (COR)


Submit all requirements and credentials to the Office of the Medical Director (Rm. 3806, 8/F DLSUMC Building 3).

Please bring original certificates for cross-reference.

For more details, please call (046) 481-8000 / (02) 8988-3100, local 1252.