The Alagang Pinoy Tagubilin Form is a standard hospital discharge instruction form used in the Philippines.
The name literally means “Filipino care instructions.” It is given to patients—or to mothers of newborns—when they leave the hospital.
This form is part of the formal hospital discharge process. It is used by both the Department of Health (DOH) and the Department of Social Welfare and Development (DSWD) to make sure that patients are properly informed about how to take care of themselves after treatment.
It also helps patients meet the requirements for financial assistance or support programs, such as AICS (Assistance to Individuals in Crisis Situation).
What is it?
The Alagang Pinoy Tagubilin Form serves as a type of medical instruction sheet or discharge summary typically issued by a doctor or healthcare facility. It includes:
- The patient’s full name
- Diagnosis or reason for consultation/admission
- Medical advice or care instructions upon discharge
- Name, license number, and signature of the attending physician
- Date of issuance (must be within 3 months for AICS purposes)
What is it used for?
It is often accepted as an alternative or supplemental document to the following in DSWD’s medical assistance applications:
- Medical certificate
- Clinical abstract
- Discharge summary
In other words, the Alagang Pinoy Tagubilin Form is a valid proof of medical condition and treatment, especially for those who were treated as outpatients or for minor procedures where full clinical abstracts are not issued.
Where can I get it?
You can request this form from:
- Hospitals or Rural Health Units (RHUs)
- Private clinics (especially those handling outpatient services)
- The attending physician during your consultation or treatment
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