Emergency/ Ambulance : +606-8500 799
General Line : +606-8505 000 | +06-8500 999
Request for Medical Report
Request for Medical Report
Medical reports are documents requested by patients for insurance claims (pay and claim), courts, employers, EPF, SOCSO or police reports. Patients’ written consent is compulsory for the release of the medical information. For patients below the age of 18, the parent or legally acceptable representative is required. If the patient is deceased or incompetent, consent is required from the next of kin of the patient or the legally acceptable representative appointed by the family or family members of the patient.
Documents Required for Application of Medical Report
- Copy of patient’s identity card (MyKid / MyKad)
- Copy of applicant’s identity card (MyKid / MyKad) (only applicable if applicant is not a patient)
- Copy of identity card of the patient’s relative (in case of death)
- Copy of death certificate (in case of death)
- Copy of document proving beneficiary relationship with patient (i.e. birth certificate, marriage certificate, letter of custody etc)
- Copy of birth certificate
- Related claim forms
- The original consent form (available at our Medical Records Department)
Charges
| Type | Details | Fees (RM) | Administration fees (RM) | Remarks | |
|---|---|---|---|---|---|
| Medical officer | Specialist | ||||
| Insurance claims
Pay and claim case Pre-printed form |
Standard form | 60 | 100 | 10 | Fixed price |
| PMAR / Questionnare | 80 | 120 | |||
| PMAR – Add on | 30 | 50 | |||
| Written report | Attending Physician Statement (APS) | 60 | 100 | Fixed price | |
| Standard | 100 | 200 | |||
| Complex | 100 – 500 | 200 – 2,000 | |||
| Law Firm (Medico-Legal)
Requested by lawyer |
Standard | 200 | 400 | 20 | Fixed price |
| Complex | 200 – 500 | 400 – 2,000 | Minimum deposit | ||
| Medical Report Requested by Authorities
PDRM/KKM/SPRM |
Standard | Free of charge (must provide official letter from authorities) | |||
| Mailing Charges | Courier Service (Malaysia) | 10 | |||
| Courier Service (Overseas) | Fees Vary, depending on international rates | ||||
Medical Report Office Operation Hours
| Mon – Fri | 08:30am – 05:30pm |
|---|---|
| Sat | 08:30am – 01:00pm |
| Sun / Public Holiday | Closed |
To request for a medical report, submit a request by filling up the form below, or you may contact our Medical Records Department at +06-8505 000. Our representative from Medical Records Department will be in touch with you as soon as possible.
