MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS

This MEMORANDUM OF AGREEMENT is made and entered into by and between:

RUGENE N. BERATO WELL LABORATORY DIAGNOSTIC CENTER, a secondary, private, out-

patient diagnostic center under and by virtue of the laws of the Philippines, with center address at Happy
Moms Medical Clinic, Nagsil Village, Mintrade Dr., Brgy. Centro, Agdao, Davao Cituy, represented by its
PROPRIETOR, RUGENE N. BERATO, and herein referred to as the “LABORATORY”;

-And-

DR. SERVILLANO M. QUIACHON, a medical clinician duly licensed by the laws of the Republic of
the Philippines, married, and a resident of Davao City, Philippines and herein referred to as the
“CLINICIAN”;

WITNESSETH:

WHEREAS, the CLINICIAN will be responsible for securing a laboratory request on all patients.

WHEREAS, the CLINICIAN l will hold responsible for interpreting the laboratory results and make
the proper diagnosis and/or management of patients.

WHEREAS, the CLINICIAN will be asked to give an initial assessment of patients of the Rugene N.
Berato Well Laboratory Diagnostic Center whose results show any significant finding and may decide to
manage the patient or suggest referral of the patient to a hospital.

WHEREAS, the DIAGNOSTIC CENTER and its personnel are not allowed to secure any laboratory
request on any patient.

WHEREAS, the DIAGNOSTIC CENTER and its personnel, are not allowed to give any initial or
final, verbal or written, interpretation of laboratory result/s to the patient.

NOW, THEREFORE, for and in consideration of the foregoing premises and of the terms,
conditions and stipulations hereunder set forth, the parties hereto have agreed, and do hereby agree as
follow:

1. THE LABORATORY SHALL:

1.1. Perform laboratory tests only if the patient provides a valid request made and signed by the

clinician.

1.2. Update the clinician of the laboratory services being offered.

1.3. Inform the clinical if a requested test is unavailable.

 1.4. Assist the patients of the clinician with requested tests not currently offered in the laboratory by

referring them to a laboratory that can provide the service/s they need.

1.5. Conform to any patient and/or sample preparation instructed by the physician.

1.6. Not accept out-patients at night, unless they present a valid request made and signed by a

physician.

1.7. Instruct patients with no laboratory request to first see the clinician for initial assessment.

1.8. Instruct the patients to seek medical and diagnostic attention at the referral diagnostic center if the

patient has no valid request and the clinician is not around.

1. THE CLINICIAN SHALL:

1.1. Provide a laboratory request for all out-patients seeking laboratory services.

1.2. Inform the diagnostic center of any special endorsements on any preferences in patient and/or

sample preparation.

1.3. Inform the diagnostic center if he will not be able to do clinic hours on any specific dates.

1.4. Provide initial assessment on patients of the Rugene N. Berato Well Laboratory Diagnostic Center

Clinic whose result presents any significant finding.

COMMON PROVISIONS

The hereinafter parties agreed that their agreed responsibilities to the patients shall be
independent of each other , hence, each PARTY shall be individually responsible for any incident that may
occur during the time that the patient is under his/her care. The determination of the liabilities of both
PARTIES in the care of the patients shall depend upon the specific factual circumstance of the case.

IN WITNESS WHEREOF, the parties hereto have signed and executed this instrument at

_________________ this _____ day of ____________, 2020

SERVILLANO P. QUIACHON, MD RUGENE N. BERATO WELL LABORATORY

CLINICIAN DIAGOSTIC CENTER
DIAGNOSTIC CENTER

RUGENE N. BERATO, RMT

Proprietor

SIGNED IN THE PRESENCE OF:

_______________________________ _______________________________
 ACKNOWLEDGEMENT

Republic of the Philippines)

City of Davao )S.S
X---------------------------------)

BEFORE ME, a Notary Public for and in the City of Davao, Philippines, this ____ day of ________, 2019, at
Davao City, personally appeared:

NAME GOVERNEMENT ID NO.

SERVILLANO M. QUIACHON PRC ID No. 0034265
RUGENE N. BERATO PRC ID No. 0076389

known to me and to me known to be the same persons who executed the foregoing instrument consisting
of three (3) pages including this page where the acknowledgement is written and they acknowledged to me
that the same is their own free and voluntary act and deed.

WITNESS MY HAND AND SEAL.

Doc. No. _______: NOTARY PUBLIC

Page No. _______:
Book No: ______:
Series of 2020