Medical Report

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 requirement 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
   – 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
   – Consent for Release of Medical Information
   – Copy of Deceased’s Death Certificate
   – A copy of requestor’s ID (front and back) – NRIC or Passport
   – Grant of Probate / Letter of Administration
   
   
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 married couple)
   
   
   
   You may download the relevant forms:
   Application for Release of Medical Information Form (Please click here)
   Consent for Release of Medical Information (Please click here)
   
   

How long does it takes to process the application?

The process will take about 30 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 1 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

What is the payment method?

1. Cash 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)

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

Requestor	Application From	Consent Form	Patient’s Photocopy ID or birth certificate (for minors)	Death Certificate	Requestor’s Photocopy ID	Grant of Probate / Letter of Administration	Signed Authorization Letter
Patient	Yes	–	Yes	–	–	–	–
3rd party on behalf of patient	Yes	Yes (signed by patient)	Yes	–	Yes	–	Yes (if collected by other than patient or requestor)
Deceased patient	Yes	Yes (signed by next of kin)	–	Yes	Yes	Yes	Yes (if collected by other than requestor)