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.

Fill In Form

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