ARC card is in the make. My sister in law ,living in Cebu, did it for me. Only needed a SPA and the required form ect. No problems Card ready for pick up in 4 weeks (they say ??) My second card so extra charge of P 1,550 for legal resource ( or something like that. Total cost US 50 + P 500 + P 1,550 My advise to you : stay out of the hospital. Better for your health and finances.