Newborn Screening Center Visayas

West Visayas State University Medical Center E. Lopez St., Jaro, Iloilo City Telefax No: (033) 329-3744 Email Address: wvsumc_nsc@info.com.ph

TO

OVERALL NEWBORN SCREENING COORDINATOR / PURCHASING DEPARTMENT J. EDGAR WINSTON C. POSECION,M.D.,DPPS Unit Head MECHANICS ON P.O. SYSTEM FOR NSC VISAYAS SPECIMEN COLLECTION KIT

FROM

RE

A. ORDERING 1. In compliance with DEPARTMENT OF HEALTH (DOH) MEMORANDUM (dated February 2, 2006), effective FEBRUARY 27, 2006, all purchase orders for Newborn Screening Blood Sample Collection Kits and all Blood Specimen for Newborn Screening from facilities in the Visayas and Mindanao shall be forwarded to:

Newborn Screening Center Visayas West Visayas State University Medical Center E. Lopez St., Jaro, Iloilo City
2. All orders for Newborn Screening Specimen Collection Kits must be Purchase Ordered (P.O.) by the requesting health facility. 3. The duly assigned and approved P.O. may be sent through: a. Courier (see list of courier below) b. Mail (see above address) c. Fax: (033) 329-3744 4. Minimum allowable order per P.O. is 5 sets of Newborn Screening Specimen Collection Kits. Each collection kit is worth Php 550.00 (Five Hundred Fifty Pesos only) which contains the following: Filter Cards Transmittal Forms NBS Result Form Lancets NBS Brochures/ Pamphlets

B. DELIVERY 1. Ordered supplies will be sent/transmitted by the Newborn Screening Center Visayas through the courier of your preference. The original SALES INVOICE accompanies the order. The Original OFFICIAL RECEIPT will be issued after the payment is made. 2. The hospital personnel in charge of receiving the ordered supplies must immediately inform Newborn Screening Center Visayas of any discrepancy in the delivery within the day the order was received. If we do not receive any call or complaint from your health facility regarding your order, it shall be deemed received in good order and condition. 3. Orders will be delivered within seven (7) working days upon receipt of the purchase order from your health facility. You will be notified of any changes in the delivery schedule, if there are any. C. PAYMENTS 1. Terms a. 45 Days Term (The Purchase Ordered Kits must be paid within 45 days). b. Prepaid for walk-in clients. (Payments must be made upon purchase). 2. Payment may be made through any of the following ways: a. Cash b. Bank to bank payment through: DEVELOPMENT BANK OF THE PHILIPINES (DBP) Details are as follows: Account Name: WVSUMC NEWBORN SCREENING PROJECT Account Number: 171-756-6 old account or 0756-002862-030 NIDSS account. Branch: JARO BRANCH, ILOILO CITY c. Check payments and Postal Money Order payable to: WVSUMC NEWBORN SCREENING PROJECT 3. If payment was made through DBP, the duplicate copy of the validated deposit slip (not faxed/not photocopied) should be immediately sent to the Newborn Screening Center Visayas for proper recording/posting and issuance of corresponding Official Receipt. We will not be able to acknowledge your inter-bank payment unless the deposit slip/s with bank validation is/are sent to us. Always indicate your NSF Name and Sales Invoice being paid for on the deposit slip upon payment. This is to facilitate our DBP-Jaro account in tracing your on line deposit. D. OTHERS 1. The Newborn Screening Center Visayas will replace for free the filter papers used for repeat sample collection of patients who have positive initial screening results (i.e. Positive for CH, CAH, GAL and PKU).

2. Filter cards that were rejected due to the reasons of CONTAMINATION, INSUFFICIENCY, TAKEN <24 HOURS FROM BIRTH, LATE TRANSMITTAL (samples sent to the NSCV Laboratory >10 days from the date of collection) will be replaced for free as well. 3. The health facility must submit a list of the patients for which a second/repeat card was used. Replacement will be sent with the next order. 4. The following are the duly authorized and official couriers under Newborn Screening Center Visayas:

A. WWWExpress / DHL (Account Number: WWWE642211992) B. JRS Express C. LBC Express D. Libcap Super Express Kalibo Account: Bacolod Account: Roxas Account: Antique Account: Cebu Account: Tagbilaran Account: Iloilo Account:

17-111 05-448 13-169 27-040 04-327 22-129 24-80

Dumaguete Account: Tacloban Account: Cagayan Account: Iligan Account: Butuan Account: General Santos Account:

23-167 10-152 06-474 16-138 07-161 11-342

E. Philippine Postal Corporation (Account Number: C6 500001 for Region VI - Western Visayas Only) NOTE: Courier fee paid by Newborn Screening Facilities (NSF) in sending blood spots is reimbursable to NSC-Visayas. NSF must send a letter requesting for reimbursement together with the couriers official receipt to NSC-Visayas. Please be guided by their existing branches in your area. 6. For follow up and other concerns, you may contact: Contact Person MARIA LEAH S. BORRO, R.N. Nurse Follow Up (09177203744) FELINOR B. AGUILAR Administrative Officer V (033)5084844 BRYAN B. DIGDIGAN Computer Operator (033)3293744 Concerns Newborn Screening Results (Normal / Elevated /Result Update) Purchase Orders (P.O.) Payments / O.R. Issuance Courier

THANK YOU FOR YOUR CONTINUED SUPPORT!

Attachment 1
Purchase Order Template

<< NAME OF HOSPITAL >> <<ADDRESS>> <<CONTACT NOS.>>

Purchase Order No. ___________ Date ________________________ Hospital Code ________________ To: Newborn Screening Center - Visayas West Visayas State University Medical Center E. Lopez St., Jaro, Iloilo Tel. No. (033)3293744

Terms 45 days

Delivery Date 7 working days

Deliver To

Please furnish the following articles/services: Unit Kit Description NBS Collection Kit (Filter card, Lancet, Transmittal Form, Result Form, NBS Pink Brochure) Other requests: Extra NBS posters Extra NBS brochures (minimum of 10) Extra Result forms Additional drying rack Qty Unit Price Php 550.00 Total Amount

pc pc pc pc Total

Php 10.00 Php 1.00 No charge No charge

Requested by:

Approved by:

Noted by:

Signature over Printed Name

Signature over Printed Name

Signature over Printed Name

Position

Position

Position