DEPARTMENT OF HEALTH MARGOSATUBIG REGIONAL HOSPITAL QUALITY MANAGEMENT SYSTEM DOCUMENT CONTROL FORM		
			Reference Code:		
			FM-QMS-004		
			Revision Number:		
			1		
			Date: Effective		
			04/12/2018		

Process Owner:	Date	
		
TYPE OF DOCUMENT CHANGE (tick appropriate box)	

[  ] Document Creation	[ ] Document Revision	[  ] Document Deletion	
DOCUMENT IDENTIFICATION	
Reference Code:
 	Revision Number:
                	Target Effectivity Date:
	
Title of Document:	
	
Areas Affected by Change:		
DOCUMENT HISTORY	

Existing Document
(Cite sections to be amended)	
Proposed Document
(Cite proposed amendment & attach copy of new or revised document)	
		
Reason/s for Creation/Revision/Deletion:
	
Reviewed by:

     

Signature over Printed Name
Chair, Documents and Records Control Committee
Date:	Approved by:

Signature over Printed Name
Division Head

Date:	

DRCC:

   

Signature over Printed Name
Date: 		[	] Approved	[	] Disapproved

Reason/s:	

NOTE: IF REQUEST IS

CREATION: ATTACH “DRAFT” DOCUMENT
REVISION: ATTACH “DRAFT” and “OBSOLETE” DOCUMENT DELETION: ATTACH “OBSOLETE” DOCUMENT