Complete Your Order

To complete your order, please fill out the form

Select the vaccine/s you’d like to book

Choose your preferred vaccination date

Upload your proof of payment

Once we receive your details and payment confirmation, our team will contact you to finalize your appointment.

If you have any questions, feel free to reach out anytime.

Contact Information

Full Name *

Phone *

Email *

Select your category *

Student

Senior

None of the above

Valid ID (For Discount Elegibility)

Upload a Valid Government ID

For students & senior citizens only

Order Information

Which vaccine/s would you like to order? (Input Quantity)

Hepatitis B Vaccine

Hepatitis A Vaccine

Flu Vaccine (Quadrivalent)

Tetanus Toxoid Vaccine

Tetanus, Diphtheria, Acellular Pertussis (TDAP)

Total Amount *

*Discount not yet applied (if eligible)

Time Preferred *

Preferred vaccination date *

How would you like to receive it? *

Pick-up & get vaccinated at Imus, Cavite branch

Door-to-door delivery (shouldered by the customer)

Address

Complete Address for Delivery *

City *

State / Province *

Delivery Information

Landmark *

Payment & Checkout

Payment Method

Gcash

Credit Card

Other

Payment Notice: Please be advised that transactions made via GCash and credit card include a 5% bank fee. For example, if your total is ₱100, the final amount with the 5% fee will be ₱105. Kindly consider this when selecting your preferred payment method. Thank you for your understanding!

Total Amount to Pay

*Inclusive of 5% bank transfer fee (if applicable) and 20% discount (if eligible)

Instructions:

You can either scan the QR code or click the link below to pay using GCash, Maya, or other e-wallets.

https://paymaya.me/labxpertmedical