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Laporan Kesehatan

Pengajuan laporan kesehatan/klaim asuransi

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

A. If the applicant is a patient

  1. Insurance form/request letter
  2. Consent to release information – patient records

B. If the 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 with HIMS staff)

C. Bila pasien telah meninggal dunia

  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)

D. If from an insurance company / relative / legal firm

  1. Insurance form/request letter
  2. Consent form from the patient to request a report / or
  3. Consent to release information – next of kin
  4. A copy of the patient’s and requestor’s I/C
  5. Processing fee (please check with HIMS staff)

There are 2 types of the consent form

  1. Consent to release information – next of kin (Silakan klik untuk melihat formulirnya)

    This consent form is used for patient relatives to request a medical report on behalf of the patient
  2. Consent to release information – patient records (Silakan klik untuk melihat formulirnya)

    This consent form is used by patients themselves to request a medical report.

Notes:

  1. Silakan kirimkan dokumen melalui email ke hims@cvskl.com
  2. For payment, HIMS staff will reply to your email and information on the charges.
  3. Akan dikenakan biaya RM10,00 untuk layanan kurir.

Jam kerja:

Monday – Friday: 9:00 am – 4:30 pm
Saturday, Sunday, Public Holiday: Closed

Bila Anda memiliki pertanyaan lain, silakan hubungi kami di +603 2276 7000 

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