4. The Department of Health shall develop the mechanism for the effective participation of the above agencies. SECTION 5. Establishment of Medical rehabilitation Centers at the Provincial Level A. Operational Guidelines for Provincial Medical Rehabilitation Centers 1. The Medical Rehabilitation Center shall be attached to the Department of Medicine of the Provincial Hospital. It shall be under the administrative supervision of the chief of the Department of Medicine. 2. The Medical Rehabilitation Center shall provide, as a minimum, the services of a physical therapist and/or an occupational therapist on a permanent basis. 3. The basic minimum requirements for equipment and supplies for a provincial medical rehabilitation centers shall consist of the following appropriate technological devices: 3.1 Hydro collator with pack 3.2 Treatment table with pelvic traction (optional) 3.3 Cervical traction (optional) 3.4 Therapeutic ultrasound 3.5 Portable electrical stimulator 3.6 Therapeutic gym 3.6.1 Parallel bar with postural mirror 3.6.2 Overhead pulley 3.6.3 Weights 3.6.4 Stairs and ramp 3.6.5 Bicycle with ergo meter 3.6.6 Toys 3.7 Evaluation Kits 3.8 Mats 3.9 Adapted tables and chairs 3.10 Stove and water heater 4. The minimum services to be provided by provincial medical rehabilitation centers shall be physical and psychosocial rehabilitation. Other services, such as but not limited to occupational and speech rehabilitation may be provided depending on the capability of the center. Services beyond the area of expertise of the center shall be referred to higher centers. 5. To maintain the continuity of services, patience who have undergone rehabilitation at the provincial medical rehabilitation centers shall be referred to their respective local government units for any appropriate community-based rehabilitation services and for follow up. 6. The Medical Rehabilitation Center shall be a training ground for field health personnel in the provision of the rehabilitation service to Disabled persons. 7. Regional Hospitals and Regional/Medical Centers with Physiatrists and other health professionals shall develop a mechanism for regular periodic visits of such specialist to provincial medical rehabilitation centers within their catchments areas. Expenditures arising from such visits shall be borne by that recipient local government unit. SECTION 6. Health Services A. Scope The following types of health services shall be made available to disabled persons at the affordable cost: 1. Primary, secondary and tertiary health care 2. Health education and counseling services 3. Referral to other centers, both government and non-government organizations for further/special care when necessary B. Availment of Services 1. All disabled/handicapped persons shall receive, without prejudice to their condition, the appropriate outpatient and in-patient health services available in any government/private health institutions. 3. Health services available in any government health facility shall be provided; – free to indigent disabled handicapped patients – at discounted rates for other disabled/handicapped patients, according to conditions to be set by the Department of Social welfare and Development and the Department of Health C. Specific Health Services