You are eligible for the person with disability discount. Please bring your PWD ID to your scheduled medical exam and present it at the reception or to the cashier to verify your discount. "; } else { $package="US Pedia - Less than 15 years old"; $discount = "0%"; } } elseif($age > 14) { if ($age > 59) { if ($nationality == "PHILIPPINES") { $package = "US Adult - Senior Citizen"; $discount = "20%"; $discount_message = " Note!

You are eligible for the senior citizen discount. Please bring your senior citizen ID to your scheduled medical exam and present it at the reception or to the cashier to verify your discount.

You are eligible for the person with disability discount. Please bring your PWD ID to your scheduled medical exam and present it at the reception or to the cashier to verify your discount. "; } else { $package='US Adult - 15 years old and above'; $discount = "0%"; } } } if($age == '00' || $age == '01') { $yr_old = 'year old'; } else { $yr_old = 'years old'; } $medical_date = date("l, F d, Y", strtotime($this->data['sched_date'])); // $medical_time = str_replace(" ", ":00 ", $this->data['sched_time']); $medical_time = $this->data['sched_time']; $medical_date_reschedule = date('F d, Y', strtotime($this->data['sched_date']. ' - 2 day')); $medical_fee = number_format($this->data['medical_fee'], 2); $payment_status = $this->data['payment_status']; $PayCode = $this->data['paycode']; $applicant_name = strtoupper($this->data['name']); $path = public_path('/img/slec-email-logo.png'); $type = pathinfo($path, PATHINFO_EXTENSION); $data = file_get_contents($path); $base64 = 'data:image/' . $type . ';base64,' . base64_encode($data); $html =" "; $html .= "

1177 JORGE BOCOBO ST. ERMITA, MANILA 1000    |   (02) 8521-0020   |   https://slec.ph

"; if($this->data['payment_status']==0){ $html .= "

$medical_date Time: $medical_time

$PayCode *$PayCode*

Dear Maam/Sir: This confirms the medical examination appointment of U.S. visa applicant $applicant_name at St. Luke s Medical Center Extension Clinic (SLEC), on $medical_date at $medical_time . Please be at the clinic at least 30 minutes before your scheduled appointment. SLEC strictly observes the schedule for the visa medical examination. Visa applicants who arrive on time shall be given priority over those who arrive late and miss their appointment. Sudden changes in quarantine restrictions may affect clinic schedules. Please provide an email address and phone number that is working and accessible to you so we can contact you when needed. Visit our website regularly for important announcements.

IMPORTANT REMINDERS: Prepare the following required documents inside a short brown envelope in this exact order: Medical Examination Appointment Confirmation Email from SLEC (printed or digital copy) Please print a copy of the attached Process Flow and bring it with you on the day of your medical examination. Passport (must be valid for at least 6 months) – original and one (1) photocopy of the biographic data page (actual size). Minors (i.e., ages 17 years and below) who will not be accompanied by their parents during the medical examination must also present the following:

Letter of Authorization or Special power of attorney stating that the companion is authorized to sign on behalf of the parent (companion must be knowledgeable of the minor\'s medical history) Parent's valid government signature bearing ID – two (2) photocopies Authorized companion's valid government signature bearing ID – original and two (2) photocopies Bring the following documents: Visa Interview Appointment Letter – one (1) photocopy Letter with Case Number / K1FTP Letter (K Visa) – one (1) photocopy DS 260 Confirmation for Regular Immigrants OR DS 160 Confirmation for K Visa applicants Each person who will undergo a visa medical examination must have one envelope that contains his/her documents. Please do not staple the documents. In the event that the US Embassy or NVC gives you a visa interview date that is earlier than your scheduled medical examination appointment date, please send us an email at inquiry@slec.ph so we can reschedule your medical examination accordingly. For health and safety reasons, only visa applicants will be allowed to enter clinic premises. Only one companion will be allowed in the case of senior citizens, PWDs, or minors (i.e., ages 17 years and below), provided that the minor is not accompanied by an adult visa applicant. Always wear your face mask within clinic premises on the day of your visa medical examination Applicants who wear contact lenses should bring their container and soaking liquid in case they are asked to remove the lenses during the medical exam.

RESCHEDULING You may reschedule your appointment for visa medical examination not later than $medical_date_reschedule by clicking on https://account.slec.ph/. Rescheduling is subject to availability, and may affect the medical fee in case your age changes. Any difference in amount shall be settled at the Clinic on the day of your medical examination. If your visa interview date is earlier than the date of your visa medical examination appointment date, please send us an email at inquiry@slec.ph so that we can reschedule your appointment.

ERMITA, MANILA CONTACT DETAILS Clinic Address: 1177 Jorge Bocobo St., Ermita, Manila

Contact Numbers: (02) 8521-0020

Clinic Hours: Mondays to Fridays from 7:00AM to 4:30PM (We are closed on declared Philippine holidays)

Mode of Payment: Cash payment at the Clinic Cashier on the day of your medical exam. Credit Card (Visa and Mastercard only) Credit card must only be used and signed by the owner of the card. Authorization to use credit card is not accepted. Debit card is not accepted. Credit card downtime may happen due to system update/maintenance by the provider. Online Payment (BDO) Visa, Mastercard, Amex, JCB, and Diners are available for our online payment. Please make sure that you are signed in to your account, as you can only make the payment there. Please make sure to strictly follow the step-by-step instructions in the attached online payment guide. Please be reminded that the GCash Visa card will not be accepted for our online payments and may cause issues with your online registration. Security Bank. Over the counter at any Security Bank Branch Security Bank online payment (with existing SBC online bank account) Security Bank mobile app (with existing SBC online bank account) See attached payment guide for Security Bank Bills Payment.

Payments made to St. Luke's Medical Center - Quezon City or Global City will not be credited to your medical examination package. Such payment discrepancies may cause significant delays to your appointment.

PLEASE PRINT AND PRESENT THIS FORM WHEN PAYING AT THE BANK

PAYMENT INSTRUCTIONS

Only the initial medical examination may be paid via bank transaction. Additional tests must be paid at the clinic cashier. Should there be an adjustment in medical fees prior to medical examination, the new medical fee will prevail. The applicant must pay the difference between the old and new fees at the clinic cashier on the day of medical exam. For Over-the-Counter Payments, the Universal transaction slip shall serve as your proof of payment. You must present the Original Universal Transaction Slip or the printed Transaction Notification slip on the day of your Visa Medical Exam. If your payment thru SBC or BDO online payment encounters an error and could not produce a machine validated transaction slip, please email us the reference code and the screen shot of your payment status before you proceed to your medical examination, this is for us to validate your payment status with the bank. For instructions on how to pay, please see attached Online Payment Guide (PDF).

$discount_message

PAYMENT DETAILS (for Initial Medical)

BILLER NAME:

ST. LUKE'S EXTENSION CLINIC

SUBSCRIBER NUMBER: $PayCode

APPLICANT NAME:

$applicant_name

APPLICANT AGE:

$age $yr_old

PACKAGE:

$package

DISCOUNT:

$discount

AMOUNT TO BE PAID:

PHP $medical_fee

(PLEASE PAY THE EXACT AMOUNT)