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HEALTH DECLARATION FORM

​Please fill out this form as required by the Philippines Government that will require you to declare any illness and provide information that will aid in contact tracing, should the need arise. Be sure that the information you give us accurate and complete. All the information submitted shall be encrypted, and strictly used only in compliance to Philippine Law, guidelines, and ordinances, in relation to business operation in light of COVID-19 response.

Please scan this QR Code to start;

ECPI_COVID19_QR_CODE.png

Alternatively, you may click this link.

https://forms.gle/YoGPFEkoRb6qXTiDA

Copyright © 2020-2024. All Rights Reserved | E* Chi'mes Pharmaceutical Inc.

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CONTACT

21 Malakas St., Brgy. Pinyahan, Diliman Quezon City, 1100 Metro Manila, Philippines

Tel Number:

(02) 8283-4027

(02) 8296-7668
 

Mobile Numbers:

+63936-954-8822

+63918-496-4199

+63961-158-4681

+63919-892-4510

+63966-257-1718

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