IMPORTANT REMINDERS: - Eligible applicants are those who have been conferred as PCP Diplomates in 2019 or earlier
- All fields with the red asterisk(  ) require an input.
- All fields without asterisk are optional.
- Please enter valid and correct e-mail address and contact number.
- Only files in JPEG (*.jpg) and PDF(*.pdf) format can be accepted by the system
- DEADLINE OF SUBMISSION: December 15, 2021 at 5PM (NO FURTHER EXTENSION).
- Before leaving the site or closing your browser, please wait for the confirmation message,
"Thank you, Doctor. Your application form has been submitted for approval." This will
assure you that your submission has been successful.
image INSTRUCTIONS on How to Apply for the Fellowship status at PCP: REQUIREMENTS FOR APPLICATION AS PCP FELLOW
(Effective September 20, 2021)
1. Please read the Implementing Rules and Regulation (IRR) for the Committee on Credentials and Membership
Please click on this link:
2. All documents & requirements must be submitted via the website on or before 5:00 PM (Philippine Standard Time) of December 15, 2021. 3. Incomplete documents will NOT be processed. 4. Receipt of the Application will be acknowledged via e-mail. 5. Upon validation, approval of the application by the Chair of the Committee on Credentials & Membership shall be sent to the applicant via e-mail. I. NAME OF APPLICANT: II DATE OF APPLICATION: III REQUIREMENTS: * date selector 1. Current PCP-Certificate of Good Standing issued by your respective local chapter. (Please attach .JPEG or PDF. 1mb file limit)
NOTE: Fulfill the minimum required fifteen (15) PCP CPD units per fiscal year, or cumulatively earned CPD units of at least thirty (30) PCP
CPD units in the last 2 years.
* 2. Letter of application for Fellow of the College addressed to the President of the PCP. (Please attach JPEG or PDF. 1MB file limit) * 3. Recent high-resolution photo in black formal Attire with white background.. (Pls. attach your picture in JPG or PDF format, < 1MB file size) * 4. Proof of payment for annual dues for 2022 (Php2,000) and processing fee (Php1,500). (Pls. attach proof of payment in JPG or PDF format, < 1MB file size) *
  • For those paying over-the-counter in the bank, please use and fill-up the BILLS PAYMENT FORM, and input your PRC ID number as the reference number
    (Union Bank Pasig Branch. In favor of: Philippine College of Physicians).

  • For those paying through online, please use the PCP online payment system .
    Under Payment. Please check "PCP Annual Dues" and "Application Fee"
  • then select "Diplomate - Php 2,000.00" and "Application Fee - Php 1,500.00".
5. Endorsement letters from two (2) PCP Fellows who are in good standing. (Pls. attach your copy of letters in JPG or PDF format, < 1MB file size) Sample Template of Endorsement : * 6. Photocopy of PCP Diplomate Board Certificate. (Pls. attach the scanned copy in JPG or PDF format, < 1MB file size) * 7. Certification of ANY of the following accomplishments: (Pls. attach your copy in JPG or PDF format, < 1MB file size) *
  • Subspecialty Fellowship Training OR Masteral/Academic Training
  • Active Internal Medicine Practice and/or Teaching (from the Hospital Medical Director / Department Chair / PCP Chapter President).
  • Completed research/es during the prescribed period (copy of abstract).
8. List of active participation in PCP-related and/or local civic activities during the last two years. Please
refer to the Pro-Forma Template:
Kindly submit the document in PDF format.
  • this list must be verified by your Chapter President and signed by the applicant to attest to its veracity.
FOR INQUIRIES: The Secretariat : Philippine College of Physicians, 22nd Floor, One San Miguel Avenue Building San
Miguel Avenue corner Shaw Boulevard, Ortigas Centre, Pasig City 1605 Tel. no. 8650-4146
PCP Website: www.pcp.org.ph
E-mail address: secretariat@pcp.org.ph or membershipcomsec.pcp@gmail.com
PERSONAL DATA PCP CHAPTER WHERE I AM A MEMBER OF * Last name First name Middle name * * * Extension name Office Address Office name : Street: Town/City: Tel. No.: Zip Code: Region: * * * * * Region: * * Zip Code: * Town/City: Tel. No.: * Street: Home Address Mailing Address: * * Place of Birth: * Mobile No.: PCP Number: PRC Number: PMA Number: * * * date selector Birthdate: Gender: * * Marital Status: Name of Spouse: date selector date selector date selector date selector date selector date selector Year Level 1: Year Level 2: Year Level 3: POSTGRADUATE TRAINING
( * Any training pursued after earning Diplomate status)
TRAINING/INSTITUTION Inclusive Dates (e.g. GI Subspecialty / UP-PGH) From To
  • In case a candidate trained in 2-3 different Institutions, he/she must submit 'certified true copies' of both the Diploma
    of completion of subspecialty/masteral/academic training program/s and letter of certification that he/she had
    satisfactorily completed a particular Year Level of training program from another institution.
The Committee on Membership & Credentialing reserves the right to disapprove any applicant who shall be
found to be deficient in his/her qualifications OR who would be found to have submitted fraudulent
documents.
Email Address: * https://pcp.org.ph/index.php/membership/implementing-rules-and-regulations-irr-for-the-committee-on-membership-and-credentials Endorsement Letter for PCP Fellowship LAST NAME / FIRST NAME / MIDDLE NAME ProForma_Letter_for_ListofActiveParticipation_v2021 *
  • Certificate of Employment for a health-related administrative position, be it in government and/or private medical institution.
9. Scanned copy of PMA Membership Certificate or valid PMA ID. * * * https://pay.pcp.org.ph/pcp-member-pay/