Registration Page

TB Service Provider Registration

What is the reason for your registration?

To notify TB cases only and comply with RA 10767

- Select this if you are a private physician or a point person/encoder of a facility that will notify TB cases.

To record NTP forms and submit NTP reports

- Select this if you are a personnel from a TB service facility and laboratory that record and report NTP requirements; to track MTBN implementation; and/or if you are from an office or organization who wishes to have viewing access in ITIS reports.

Privacy Notice: All information collected through this site shall be used for the purpose of (1) database of TB care providers for reporting TB Human Resource-related indicators, (2) basis for processing of ITIS account, and (3) contacting for patient referrals and informing of NTP activities. Your contact details will be accessible by all ITIS users while personal information such as Birthday and PRC Number shall be accessible only by the approval party. If you wish to revoke your registration, you may send us an email via ntp.helpdesk@doh.gov.ph. All information collected will remain secure and confidential within authorized personnel only.

* Title:
* Last Name:
* First Name:
* Middle Name:	if 'Middle Name' is not applicable
Name Extension:	Ex. Jr., Sr., III
Maiden Name:
* PRC License No.:
* Birthdate:
* Sex:
* Email Address:
* Mobile Number:
Landline Number:
* Profession:
* Main Health Facility:	Facility is not existing in the list * Contact Details * Facility Type TB Laboratory Service/s: * Xpert MTB/RIF * Smear Microscopy * TB LAMP * LPA * Culture * DST * Hospital Level * Facility Ownership * Business Hours (day and time)
* Designation:	Role in the facility/unit
Position:	Specific title of work assignment
* Employment Status:	Source: CSC Resolution No. 1701009, Section 9 of Page 14
	Create an ITIS user account for me.
* User Level:
Where did you hear of this registration? or How were you informed of this registration? or Who assisted you in your registration?	Please select medical society: Others, please specify:
Remarks:
Note: * means required field