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Apply for Medical Report

We are transitioning to GovTech’s web based FORMSG platform for enquiries and applications as part of our ongoing efforts to enhance data security. Before submitting your application, please check whether the information you need is already available on the NHG Health app​.

Patients currently have access to:

  • Book and manage doctor appointments
  • Medication refill request
  • Medical Certificates
  • Discharge Summaries
  • Test Results

If you still wish to proceed, all medical report requests must be submitted through FORMSG.

Please note that all application fees are non-refundable once submitted.

Click Here to Submit Online Application

Click Here to Submit Enquiry​


Type of Report /
Description		Type of ReportDescriptionFees (GST Inclusive)

Ordinary Medical Report


Specialist Medical Report

This report is prepared by the medical doctor based on patient’s medical condition.

​This report is prepared by the patient’s specialist in response to requests that require a professional opinion regarding the patient medical conditions, prognosis or disabilities. It is based on an actual assessment of the patient’s condition and may involve a review at the Specialist Outpatient clinic.​

 119.90
218.00

Psychiatric Specialist Medical Report (Simple)

​Psychiatric Specialist Medical Report (Complex)

Same as above. For completion by Department of Psychiatry.

 256.70
459.00
Insurance Forms:

Insurance Form (Ordinary)

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​Insurance Form (Specialist/Disability Claim)


This report is in the form of insurance claim form. Information required may consist of diagnosis/name of procedure and details of medical condition or treatment given.

This report is a detailed insurance claim form provided by the insurance company for the doctor to assess the patient’s disability or severity status. The form will require information such as prognosis, diagnosis, details of injuries suffered, treatment given.
119.90

218.00
CPF Forms:

Medical Assessment Report (For Withdrawal of CPF Savings) (RLE-MC)​

​Medical Certificate (FORM W14A)

Terminal and Disability Claim (GEL-REL)


CPF forms for completion need to be furnished by the requestor.
119.90

218.00
218.0​0

Workmen Compensation Assessment Form
(Initial/Re-assessment)

​

This report is for the purpose of determining work-related period of disability. The doctor will fill up the MOM form “Medical Report on Traumatic Injuries for Workman’s Compensation” and this may involve a review of the patient at the Specialist Outpatient Clinic.
​Necessary forms for completion need to be furnished by the requestor.​

 119.90​

Mental Capacity Act (MCA) Deputyship

​

This report is prepared and assessed by the associate consultant level psychiatrists and above.

The report can be submitted via iFAMS (online) or Form 61 (Hardcopy) to Family Court. Details from OPG website.

​*Additional clinic fees apply ​

 549.80​

Reactivation of LPA (Psychiatric)

​

This report is required when a donee needs to activate their powers under a Lasting Power of Attorney because the donor (patient) has lost mental capacity. This requires a medical assessment to confirm the donor's mental incapacity at Specialist Outpatient Clinic.

Necessary forms for completion need to be furnished by the requestor (LPA Activation Form with LPA registration number filled in by the donee)

*Additional clinic fees apply

 230.1​0​

Second Opinion Report

​

This applies to patients who are receiving specialist care at another hospital and seek a second opinion from KTPH on their present condition.

 327.00​
Other Forms:

IRAS Tax Relief Form

MSF/SG Enable Disability Verification Form (DVF)

This report is prepared by medical doctor or allied health professional.

Necessary forms for completion need to be furnished by the requestor.

44.80​
Memo

Memo is a statement from a doctor to state patient’s diagnosis/referral/discharge with no explanation of medical condition.

 16.35​
Administration Fee for Retrieval and Duplication of Medical records

Discharge Summary (Inpatient/Day Surgery/A&E)

Investigation/Lab/Radiological Scan Results

Medical Certificate/Certified True Copy



A discharge summary for the Inpatient Admission/Day Surgery/A&E visit. It will provide brief information of the surgery, diagnosis and procedure.


​Selective copies of investigation results such as blood test results, investigation reports, X-ray and other radiological reports can be made available.

A certified true copy of the Medical Certificate issued by the A&E, clinics and wards.




12.20 per visit (for third party)​
9.70 per visit (for third party)​
13.30 per copy

Notes:

  1. To request medical report types not listed above, please submit your request via the Enquiry​ F​orm ​with the relevant details.
  2. Any additional charges incurred in the preparation of the medical report, including consultation fees, radiological investigations, and laboratory tests, will be borne by the applicant.
  3. Full payment is required before processing of the medical report. In the event of an underpayment, a top‑up payment will be required. Once payment has been made, no refunds or cancellations will be allowed.
Situation/
Forms Needed		SituationSupporting Documents
Forms Needed​

Patient is the applicant

Patient to complete Form A

Copy of Patient’s NRIC or FIN​

Form A

Patient is a minor who is under the age of 21 years old and is not an active NSman/ married/ widowed

Patient’s parents or legal guardian to complete Form A.

Copy of Parent’s NRIC/birth certificate.

Copy of parent/legal guardian’s NRIC or Fin

Legal documents indicating appointment of the applicant as patient’s legal guardian (if applicable)


 Form A

Requests for deceased patients:

With legal representative (an individual appointed by the Singapore Court)

Designated executor or administrator to complete Form A & Form B

Copy of deceased Patient’s death certificate.

Designated executor’s/administrator’s NRIC or FIN.

Court Order indicating appointment of the applicant as deceased patient’s executor/administrator.


Form A

Form B


Requests for deceased patients:

With Nearest-Next-of Kin(s)-no legal representative

Deceased patient’s spouse to complete Form A. 

All adult children or Nearest-Next-of Kin(s) to complete Form B. 

Copy of deceased patient’s death certificate.

Copy of patient’s marriage certificate.

Copy of all adult children’s birth certificates.

Copy of spouse’s NRIC or FIN.


Form A

Form B


Requests for patients who lack mental capacity/unable to provide consent:

With legal representative (an individual appointed by the Singapore Court)

Appointed Donee (s) or Court Appointed Deputy to complete Form A & B.

Copy of both patient's and legal representative’s NRIC or FIN.

Court Order indicating appointment of the applicant as patient’s deputy or appointed done.

Full set of Lasting Power of Attorney (LPA) or activation of LPA forms (if applicable).​


Form A

Form B


Requests for patients who lack mental capacity/unable to provide consent:

With Nearest-Next-of Kin(s)-no legal representative

Patient’s spouse to complete Form A.​

All adult children to complete Form B.

Copy of patient’s and applicant’s NRIC or FIN.

Copy of patient’s marriage certificate.

Copy of all adult children’s birth certificates.​


Form A

Form B


​

​Requests From Third Party/Organisation

For foreign patient that left Singapore

Former employer to complete Form A & C.

Copy of letter of cancellation of patient’s work pass/permit.

Copy of flight details document that patient has left Singapore.

Copy of company letter, if applying on behalf of exited foreign worker.



Form A

Form C​


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Frequently Asked Questions

What is a medical report?

A medical report is a structured document, usually in a standard form provided by an insurance company or relevant authority. It contains medical information that must be completed by an assigned doctor.

What documents can I submit for my outpatient visit or hospitalisation claim?​

For most insurance claims, you may submit:

  • Visit Summary (for Accident & Emergency visits and 23-hour stays, and/or
  • ​Inpatient Discharge Summary (for inpatient admissions).

If your insurer requires additional information, they may provide a specific medical insurance form for completion.

Why is there a charge for a medical report?​

Preparation of a medical report requires the doctor to review the patient’s complete medical records and provide clinical opinions as requested. This work is performed separately from the patient’s outpatient consultation or hospital stay. As such, consultation fees and hospitalisation bills do not include the cost of medical reports. The fee charged covers the hospital’s administrative processing and the doctor’s professional time and input.

Can MediSave or MediFund be used to pay for a medical report?

No. Payments for medical reports are not claimable under MediSave or MediFund./p>

I was seen by two different doctors at Khoo Teck Puat Hospital. Can I request one consolidated medical report?

If you were reviewed by different doctors for separate medical conditions, each doctor is required to prepare a medical report specific to the care and treatment provided. Therefore, separate medical reports must be requested for each specialty.

I have visited the hospital for various reasons. Which medical report should I be requesting?

A fee applies to each medical report requested. You are advised to request only the report that is relevant to the purpose of your insurance or administrative claim.​


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Contact Us

Click Here to Submit Online Application

Click Here to Submit Enquiry

We endeavour to reply all enquiries within 3 working days.


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