Medical Report

SUBMISSION OF MEDICAL REPORT / INSURANCE CLAIM

In order to comply with PERSONAL DATA PROTECTION (PDP) Act 2010, all submissions for medical report / insurance claim / SOCSO / legal report / KWSP, the following procedures must be followed. This is to protect both parties between Hospital and patient. The person who submit the request must be the same person to collect the report.

  1. IF APPLICANT IS A PATIENT
    1. Insurance Form / Request Letter
    2. Consent to Release Information - Patient Records

  2. IF PATIENT IS BELOW 18 YEARS OLD
    1. Insurance Form / Request Letter
    2. Copy of Patient’s I/C or Birth Certificate
    3. Copy of Parent’s I/C (Either one)
    4. Processing fee (Please check from HIMS Staff)

  3. IF PATIENT IS DECEASED
    1. Insurance Form / Request Letter
    2. Copy of Relative’s I/C
    3. Original Death Certificate of patient
    4. Processing fee (Please check from HIMS Staff)

  4. IF FROM INSURANCE COMPANY / RELATIVE / LEGAL FIRM
    1. Insurance Form / Request Letter
    2. Consent Form from patient to request a report / OR
    3. Consent to Release Information - Next of Kin
    4. A Copy of Patient’s and Requestor I/C
    5. Processing fee (Please check from HIMS Staff)

There are 2 type of consent form

  1. Consent to release information – Next of kin (Please click to view the form)
    This consent form is use for patient relative request a medical report on behalf of patient
  2. Consent to release information – Patient records (Please click to view the form)
    This consent form is use for patient them shelve request a medical report.

NOTES: -

  1. Please email the documents to hims@cvskl.com. Operating hours: Mon-Fri, 9.00am - 4.30pm
  2. For payment, HIMS Staff will reply your email and inform on the charges.
  3. RM10.00 will be charged for courier service.

For any other enquiries, please contact us at +603 2276 7000.

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