Medical Report | Prince Court Medical Centre

The Medical Record Unit provides services for the below requests:

  • Written medical reports
  • Completion of Insurance Claim Form, PERKESO, KWSP, Vaccination Records etc.
  • Investigation reports such as Laboratory Result or Radiology Result
  • Copies of Discharge Summary, Referral Letter, Executive Health Screening Result etc.

What are the requirements to apply for the Medical Report?

  1. If you are the patient:

    • Application for Release of Medical Information Form
    • A copy of patient's ID (front and back) - NRIC or Passport
  2. If you are requesting on behalf of a patient:

    • Application for Release of Medical Information Form
    • Consent for Release of Medical Information (this is to comply with the — Personal Data Protection Act 2010) – to be signed by patient & witness
    • A copy of patient’s ID (front and back) – NRIC or Passport
    • A copy of requestor’s ID (front and back) – NRIC or Passport
  3. For Deceased Patient:

    • Application for Release of Medical Information Form (completed by spouse or third party)
    • Consent for Release of Medical Information (signed by spouse / third party & witness)
    • Copy of Deceased’s Death Certificate 
    • Copy of marriage certificate (if applicable)
    • A copy of spouse/third party's ID (front and back) – NRIC or Passport
    • Grant of Probate / Letter of Administration (applies to requestors other than spouse)
  4. Where applicable:

    • Official Application Letter – i.e. Insurance Query Letter / Claim Form, Lawyer Letter, SOCSO form, etc.
    • Written authorization letter from patient (if collected by other than patient or requestor)
    • Marriage Certificate (for deceased case)

You may download the relevant forms:

How long does it take to process the application?

The process will take about 14 working days from the time all required documents are obtained.
However, there are cases where the requests may take longer than the given period. The delay may be due to the unavailability of doctors (e.g. visiting doctors, doctors on leave), reports requested from multiple doctors etc.

How to collect the report?

When the report is ready, you will be contacted via email. The report will be released based on your preference as below:

  • Onsite collect at Medical Report Unit @ Level 4B Prince Court Medical Centre
  • Scanned copy via email
  • Original hardcopy via Courier Services

Note:
For immediate release, it is advisable for you to come and collect onsite.
Online payment will take up to 3 days for verification by our Finance Department.

How much is the report fee?

  1. Minimum fee of RM120 will be applied to all applications.
    Charges are inclusive of administrative fee and doctor’s medical report fee
  2. No charges for copies of investigative report
  3. Customers will be informed prior to report collection.

What is the payment method?

  1. Credit/debit card payment upon collection of report.
    OR
  2. Online banking via JOMPAY (further details will be emailed to you when the report is ready for collection)
  3. No cash collection over the counter.

How can you contact the Medical Report Unit?

Address
Medical Report Unit, Level 4B
Prince Court Medical Centre
39, Jalan Kia Peng,
50450 Kuala Lumpur

Operating Hours

Monday - Friday: 9am - 4.30pm
Saturday: 9am - 12.30pm
Sunday & Public Holiday: Closed

Email : [email protected]

Contact Number (During Business Hours)
03 – 2160 0000 Ext : 1707 / 1709

Checklist for Medical Report Application

RequestorApplication FromConsent FormPatient's Photocopy ID or birth certificate (for minors)Death CertificateRequestor's Photocopy IDMarriage CertificateGrant of Probate / Letter of AdministrationSigned Authorization Letter
PatientYes-Yes-----
3rd party on behalf of patientYesYes (signed by patient)Yes-Yes--Yes (if collected by other than patient or requestor)
Spouse of deceased patientYesYes (signed by spouse)-YesYesYes-Yes (if collected by other than patient or requestor)
3rd party requestor of a deceased patientYesYes (signed by person named in Grant of Probate/Letter of Administration)-YesYes-Yes (if requested by other than spouse)Yes (if collected by other than patient or requestor)