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Apply for Medical Report

Why you need a medical report

A medical report covers a patient’s clinical history, or hospital admission or clinic visit. The doctor will write the report based on medical information available on the patient.

When you make an insurance claim, you may be asked to submit a medical report or Doctor’s Statement (form with set questionnaire provided by the insurance company) as one of the supporting documents.

Most insurance companies and some organisations provide their own medical report form with a set questionnaire. Please check with them before applying for a medical report.

Type of report Description Fee (includes 8% GST)

Mental Capacity Act Medical Report**

To certify the mental capacity of a patient

For patient who has lost mental capacity to make decisions

An assessment / medical review at the Psychiatric Clinic might be required.

S$434.02

CPF Medical Certification**

Includes the doctor’s opinion of the patient’s prognosis and disabilities

S$90.84

Disability & Mobility Report - Carpark Label for the Handicapped**

To certify that the patient has physical disabilities that require the use of mobility aids

S$21.60

LPA (Lasting Power of Attorney) Form**

To certify that the patient has the mental capacity to make the Lasting Power of Attorney

An assessment / medical review at the Psychiatric Clinic might be required.

S$201.87

Functional Assessment Report**

To assess the patient on the need for assistance in activities of daily living

S$40.07

Therapy Report

The report is prepared by a physiotherapist /occupational therapist / speech therapist.

It records the patient’s medical problem and progress based on the last therapy visit / session.

S$90.84

Insurance Form by Doctor (Ordinary)**

Information may consist of diagnosis, name of procedure and details of the patient’s medical condition or treatment given.

S$90.84

Permanent Disability Claim Form**

Information may consist of a professional opinion of the patient’s prognosis and disabilities.

S$181.68

Ordinary Medical Report

The doctor will write a report of the patient’s medical condition based on medical information available on the patient.

S$90.84

Specialist Medical Report

Includes a professional opinion of the patient’s prognosis and disabilities

It is based on an actual assessment and may involve a review at the Specialist Outpatient Clinic.

S$181.68

Pre-Work Injury Compensation Medical Report**

Information may consist of diagnosis, name of procedure and details of the patient’s medical condition or treatment given.

S$90.84

Work Injury Compensation Initial Assessment Report**

After the patient’s work-related injury has stabilised, the doctor will assess the patient and report on the extent of injury (i.e. % of permanent incapacity).

The report will be sent directly to the Ministry of Manpower.

S$90.84

Work Injury Compensation Re-Assessment Report**

To re-determine work-related injuries and degree of disability when the patient objects to the result of the initial assessment.

S$90.84

Work Injury Compensation Medical Board Report**

To re-determine work-related injuries and degree of disability when the patient objects to the result of the initial assessment.

This objection report is done by two doctors who are consultants and above.

The report will be sent directly to the Ministry of Manpower.

S$360.34

Psychiatric Work Injury Compensation Initial Assessment report**

This is for the purpose of determining work-related injuries and the degree and period of disability.

The report will be sent directly to the Ministry of Manpower.

*Attachment is compulsory. Please attach your MOM's Initial Assessment form or MOM's request letter for the application.

S$201.87

Second Opinion Report

The report is prepared for people who are not our patients but wish to seek a professional opinion from our specialists.

The format and scope are the same as a Specialist Medical Report.

S$302.80

Psychiatric Specialist Medical Report (Simple or Complex)

Includes a professional opinion of the patient’s prognosis and disabilities

It is based on an actual assessment and may involve a review at the Psychiatric Clinic.

The type of report – Simple or Complex -- will be advised by the psychiatrist upon review of the patient’s records.

S$201.87
(Simple)

S$454.20
(Complex)

Medico-Legal Medical Report (Simple or Complex)

Includes a professional opinion of the patient's prognosis and disabilities for legal matters.

It is based on an actual assessment and may involve a review at the Psychiatric Clinic. Clinical charges apply.

The type of Report – Simple or Complex - will be advised by the psychiatrist upon review of patient's records.

S$648.00
(Simple)

S$1,080.00
(Complex)

Forensic Report (Simple or Complex)

Specialised report for legal matters.

It is based on an actual assessment and may involve a review at the Psychiatric Clinic. Clinical charges apply.

The type of report – Simple or Complex - will be advised by the psychiatrist upon review of the patient's records.

S$1,211.22
(Simple)

S$2,700.00
(Complex)

Memorandum

Very Brief information.

Only the following criteria will be accepted:

  1. Certification of diagnosis
  2. (A) Fit to work
    (B) Fit to drive
    (C) Fit for flight travel
  3. Referrals to:
    (A) KTPH specialists
    (B) Laboratory/Radiology procedures
  4. Memo for purchasing medical devices
  5. Very brief medical condition
    (eg. BP reading/height/weight)

S$10.80

Duplication of

 

No charge

  • Inpatient Discharge Summary
  • For a specific hospital stay

 

  • Patient Report
  • For a specific day surgery

 

  • Visit Summary
  • For A&E visit and 23hr stay at A&E

Note:
You may access your Inpatient Discharge Summary at the HealthHub portal.

 

Duplication of Investigation Results

 

$6.06
per result

  • Laboratory Report

Laboratory tests done on blood, urine samples, etc.

 
  • Radiology Report

Radiological reports such as X-ray, CT scan, MRI, ultrasound, etc.

Note:
You may access your investigation results at the HealthHub portal.

 

Reprint of Medical Certificate

Duplicate copy of medical certificate issued by the wards and clinics

S$12.12
per copy

Digital Medical Certificate

Digital Medical Certificate that was previously issued by the hospital.

(Send to patient's phone for downloading)

No charge

Type of report: Mental Capacity Act Medical Report**

Description:

To certify the mental capacity of a patient

For patient who has lost mental capacity to make decisions

An assessment / medical review at the Psychiatric Clinic might be required.

Fee (includes 8% GST):

S$434.02

Type of report: CPF Medical Certification**

Description:

Includes the doctor’s opinion of the patient’s prognosis and disabilities

Fee (includes 8% GST):

S$90.84

Type of report: Disability & Mobility Report - Carpark Label for the Handicapped**

Description:

To certify that the patient has physical disabilities that require the use of mobility aids

Fee (includes 8% GST):

S$21.60

Type of report: LPA (Lasting Power of Attorney) Form**

Description:

To certify that the patient has the mental capacity to make the Lasting Power of Attorney

An assessment / medical review at the Psychiatric Clinic might be required.

Fee (includes 8% GST):

S$201.87

Type of report: Functional Assessment Report**

Description:

To assess the patient on the need for assistance in activities of daily living

Fee (includes 8% GST):

S$40.07

Type of report: Therapy Report

Description:

The report is prepared by a physiotherapist /occupational therapist / speech therapist.

It records the patient’s medical problem and progress based on the last therapy visit / session.

Fee (includes 8% GST):

S$90.84

Type of report: Insurance Form by Doctor (Ordinary)**

Description:

Information may consist of diagnosis, name of procedure and details of the patient’s medical condition or treatment given.

Fee (includes 8% GST):

S$90.84

Type of report: Permanent Disability Claim Form**

Description:

Information may consist of a professional opinion of the patient’s prognosis and disabilities.

Fee (includes 8% GST):

S$181.68

Type of report: Ordinary Medical Report

Description:

The doctor will write a report of the patient’s medical condition based on medical information available on the patient.

Fee (includes 8% GST):

S$90.84

Type of report: Specialist Medical Report

Description:

Includes a professional opinion of the patient’s prognosis and disabilities

It is based on an actual assessment and may involve a review at the Specialist Outpatient Clinic.

Fee (includes 8% GST):

S$181.68

Type of report: Pre-Work Injury Compensation Medical Report**

Description:

Information may consist of diagnosis, name of procedure and details of the patient’s medical condition or treatment given.

Fee (includes 8% GST):

S$90.84

Type of report: Work Injury Compensation Initial Assessment Report**

Description:

After the patient’s work-related injury has stabilised, the doctor will assess the patient and report on the extent of injury (i.e. % of permanent incapacity).

The report will be sent directly to the Ministry of Manpower.

Fee (includes 8% GST):

S$90.84

Type of report: Work Injury Compensation Re-Assessment Report**

Description:

To re-determine work-related injuries and degree of disability when the patient objects to the result of the initial assessment.

Fee (includes 8% GST):

S$90.84

Type of report: Work Injury Compensation Medical Board Report**

Description:

To re-determine work-related injuries and degree of disability when the patient objects to the result of the initial assessment.

This objection report is done by two doctors who are consultants and above.

The report will be sent directly to the Ministry of Manpower.

Fee (includes 8% GST):

S$360.34

Type of report: Psychiatric Work Injury Compensation Initial Assessment report**

Description:

This is for the purpose of determining work-related injuries and the degree and period of disability.

The report will be sent directly to the Ministry of Manpower.

*Attachment is compulsory. Please attach your MOM's Initial Assessment form or MOM's request letter for the application.

Fee (includes 8% GST):

S$201.87

Type of report: Second Opinion Report

Description:

The report is prepared for people who are not our patients but wish to seek a professional opinion from our specialists.

The format and scope are the same as a Specialist Medical Report.

Fee (includes 8% GST):

S$302.80

Type of report: Psychiatric Specialist Medical Report (Simple or Complex)

Description:

Includes a professional opinion of the patient’s prognosis and disabilities

It is based on an actual assessment and may involve a review at the Psychiatric Clinic.

The type of report – Simple or Complex -- will be advised by the psychiatrist upon review of the patient’s records.

Fees (includes 8% GST):

S$201.87 (Simple)
S$454.20 (Complex)

Type of report: Medico-Legal Medical Report (Simple or Complex)

Description:

Includes a professional opinion of the patient’s prognosis and disabilities for legal matters.

It is based on an actual assessment and may involve a review at the Psychiatric Clinic. Clinic charges apply.

The type of report – Simple or Complex - will be advised by the psychiatrist upon review of the patient’s records.

Fees (includes 8% GST):

S$648.00 (Simple)
S$1,080.00 (Complex)

Type of report: Forensic Report (Simple or Complex)

Description:

Specialised report for legal matters.

It is based on an actual assessment and may involve a review at the Psychiatric Clinic. Clinic charges apply.

The type of report – Simple or Complex - will be advised by the psychiatrist upon review of the patient’s records.

Fee (includes 8% GST):

S$1,211.22 (Simple)
S$2,700.00 (Complex)

Type of report: Memorandum

Description:

Very Brief information.
Only the following criteria will be accepted:

  1. Certification of diagnosis
  2. (A) Fit to work
    (B) Fit to drive
    (C) Fit for flight travel
  3. Referrals to:
    (A) KTPH specialities
    (B) Laboratory/Radiology procedures
  4. Memo for purchasing medical devices
  5. Very brief medical condition
    (eg. BP reading/height/weight)

Fee (includes 8% GST):

S$10.80

Type of report: Duplication of Inpatient Discharge Summary

Description:

For a specific hospital stay

Note:
You may access your Inpatient Discharge Summary at the HealthHub portal.

Fee (includes 8% GST):

No charge

Type of report: Duplication of Patient Report

Description:

For a specific day surgery

Note:
You may access your Inpatient Discharge Summary at the HealthHub portal.

Fee (includes 8% GST):

No charge

Type of report: Duplication of Visit Summary

Description:

For A&E visit and 23 hour stay at A&E

Note:
You may access your Inpatient Discharge Summary at the HealthHub portal.

Fee (includes 8% GST):

No charge

Type of report: Duplication of Investigation Results
  • Laboratory Report

Description:

Laboratory tests done on blood, urine samples, etc.

Note:
You may access your investigation results at the HealthHub portal.

Fee (includes 8% GST):

$6.06 per result

Type of report: Duplication of Investigation Results
  • Radiology Report

Description:

Radiological reports such as X-ray, CT scan, MRI, ultrasound, etc.

Note:
You may access your investigation results at the HealthHub portal.

Fee (includes 8% GST):

$6.06 per result

Type of report: Reprint of Medical Certificate

Description:

Duplicate copy of medical certificate issued by the wards and clinics

Fee (includes 8% GST):

S$12.12 per copy

Type of report: Digital Medical Certificate

Description:

Digital Medical Certificate that was previously issued by the hospital.
(Send to patient's phone for downloading)

Fee (includes 8% GST):

No charge


Note:

  1. **Please obtain forms from the insurance companies or relevant organisations.
  2. The patient is liable for all additional charges should further tests be required for the preparation of the medical report.
  3. The fees do not cover consultation, assessment and tests if the patient is required to attend a medical review at the Psychiatric Clinic.
  4. An administrative charge of one-third of the payment will be imposed if a cancellation request is made while the medical report is being processed.
  5. Cancellation is not allowed if the doctor has already prepared the report.
  6. Our institution reserves the right to offset refund, if any, against amount owed by the patient on bills from the same institution or from Yishun Community Hospital and Admiralty Medical Centre.
  • Apply in person
  • Mail request
  • Email request
  • Apply online via HealthHub portal (for medical report applications only)

Do note that your application will only be processed upon receipt of the correct fee and supporting documents.

Applying in Person

Khoo Teck Puat Hospital Yishun Community Hospital Admiralty Medical Centre

Patient Service Centre

Tower A, Level 1

Opening hours

Monday - Friday:
8.30am - 5.30pm

Weekend & Public holiday: Closed

Patient Registration Counter at Clinics

Opening hours

Monday - Friday:
8.30am - 5.30pm

Weekend & Public holiday: Closed

Patient Service Centre

Tower D, Level 1

Opening hours

Monday - Friday:
8.30am - 5.30pm

Weekend & Public holiday: Closed

Patient Registration Counter

Kampung Admiralty, Level 3 or 4

Opening hours

Monday - Friday:
8.30am - 5.00pm

Saturday:
8.30am - 11.00am

Sunday & Public holiday: Closed

Hospital: Khoo Teck Puat Hospital

Patient Service Centre

Tower A, Level 1

Opening hours

Monday - Friday: 8.30am - 5.30pm

Weekend & Public holiday: Closed

Patient Registration Counter at Clinics

Opening hours

Monday - Friday: 8.30am - 5.30pm

Weekend & Public holiday: Closed

Hospital: Yishun Community Hospital

Patient Service Centre

Tower D, Level 1

Opening hours

Monday - Friday: 8.30am - 5.30pm

Weekend & Public holiday: Closed

Hospital: Admiralty Medical Centre

Patient Registration Counter

Kampung Admiralty, Level 3 or 4

Opening hours

Monday - Friday: 8.30am - 5.00pm

Saturday: 8.30am - 11.00am

Sunday & Public holiday: Closed

Submission in Physical Drop Box

You may submit the filled up consent form with supporting documents in a drop box located outside Patient Service Centre, Tower A Level 1, at Khoo Teck Puat Hospital.

Please use the official consent form, which can be downloaded from this website only.

Applying by Post

Khoo Teck Puat Hospital Yishun Community Hospital Admiralty Medical Centre

Khoo Teck Puat Hospital
90 Yishun Central
Singapore 768828

Attn: Medical Records Office

Yishun Community Hospital
2 Yishun Central 2
Singapore 768024

Attn: Medical Records Office

Admiralty Medical Centre
Block 676 Woodlands Drive 71
#03-01 Kampung Admiralty
Singapore 730676

Attn: Medical Records Office

Hospital: Khoo Teck Puat Hospital

Khoo Teck Puat Hospital
90 Yishun Central
Singapore 768828

Attn: Medical Records Office

Hospital: Yishun Community Hospital

Yishun Community Hospital
2 Yishun Central 2
Singapore 768024

Attn: Medical Records Office

Hospital: Admiralty Medical Centre

Admiralty Medical Centre
Block 676 Woodlands Drive 71
#03-01 Kampung Admiralty
Singapore 730676

Attn: Medical Records Office

  1. Patient’s signed consent is needed to release his / her medical information.

    Please complete the Application & Consent for Release of Medical Information - Form A (PDF, 456KB).

    For more information, please refer to the section below on .
  2. Copy of patient’s NRIC / identification document (front and back).
  3. Questionnaire form from insurance company or relevant organisations, if applicable.
  4. Cheque payment is required for requests by mail.

Please write patient’s name, NRIC/ Fin number and contact number on the back of the cheque.

Hospital Cross cheque and make payable to

Khoo Teck Puat Hospital

Alexandra Health Pte Ltd

Yishun Community Hospital

Yishun Community Hospital Pte Ltd

Admiralty Medical Centre

Admiralty Medical Centre Pte Ltd

Hospital:
Khoo Teck Puat Hospital

Cross cheque and make payable to:

Alexandra Health Pte Ltd

Hospital:
Yishun Community Hospital

Cross cheque and make payable to:

Yishun Community Hospital Pte Ltd

Hospital:
Admiralty Medical Centre

Cross cheque and make payable to:

Admiralty Medical Centre Pte Ltd

We will process the application once we have received and verified all the required forms, supporting documents and payment.

Type of report Estimated processing time

Ordinary Medical Report / Form Completion 

Between 4 to 6 weeks from the date of receiving the completed forms.

It may take longer if:

  • Patient has upcoming clinic appointments
  • Patient is hospitalised
  • Multiple reports are required from several clinical departments
  • Doctor is away on leave

Specialist Medical Report and reports which require the patient to undergo assessment

Require more processing time as a review at the Specialilst Outpatient Clinic may be required.

Between 4 to 6 weeks from the date of final assessment appointment.

Work Injury Compensation Medical Report

May take longer as a review at the Specialist Outpatient Clinic may be required, after the patient has been discharged or given an open date for review

At least 3 weeks from the date of appointment for assessment

The report will be sent directly to the Ministry of Manpower or designated Work Injury Compensation insurers.

Duplication of

  • Discharge Summary
  • Patient Report
  • Visit Summary
  • Investigation Result
  • Medical Certificate

For request by post or email:

  • Duplication of medical reports, results and medical certificates are typically available within one week from the date of completed consent received by the Medical Records Office (MRO).

For application in person at the Patient Service Centre / Patient Registration Counter:

  • You may collect the document on the spot

Note:
You may also access your Inpatient Discharge Summary and investigation results at the HealthHub portal.

Type of report: Ordinary Medical Report / Form Completion

Estimated processing time

Between 4 to 6 weeks from the date of receiving the completed forms.

It may take longer if:

  • Patient has upcoming clinic appointments:
  • Patient is hospitalised
  • Multiple reports are required from several clinical departments
  • Doctor is away on leave
Type of report: Specialist Medical Report and reports which require the patient to undergo assessment

Estimated processing time:

Require more processing time as a review at the Specialist Outpatient Clinic may be required.

Between 4 to 6 weeks from the date of final assessment appointment.

Type of report: Work Injury Compensation Medical Report

Estimated processing time:

May take longer as a review at the Specialist Outpatient Clinic may be required, after the patient has been discharged or given an open date for review.

At least 3 weeks from the date of appointment for assessment.

The report will be sent directly to the Ministry of Manpower or designated Work Injury Compensation insurers.

Type of report: Duplication of
  • Discharge Summary
  • Patient Report
  • Visit Summary
  • Investigation Result
  • Medical Certificate

Estimated processing time:

For request by post or email:

  • Duplication of medical reports, results and medical certificates are typically available within one week from the date of completed consent received by the Medical Records Office (MRO).

For application in person at the Patient Service Centre / Patient Registration Counter:

  • You may collect the document on the spot.

Note:
You may also access your Inpatient Discharge Summary and investigation results at the HealthHub portal.

You may … You need to …

By Email

Note:
A hard copy of the report will not be provided.

At the time of application:

  • Provide recipient's email address

By Courier Mail

Note:
For overseas address, only registered mail will be used. Registered mail charge S$10.10 (incl GST).

For failed courier delivery, recipient is required to collect the medical report or duplicated document at the Patient Service Centre on Saturdays (excluding Public Holidays) between 8.30am and 12.30pm.

At the time of application:

  • Provide recipient's name, address and contact number
  • Pay an administrative fee of $10.10 within Singapore only

Authorise a representative to collect the report.

Sign the Authorisation Letter (91KB).

Provide for our retention a copy of:

  • The representative’s NRIC
  • The applicant’s NRIC or identification document
You may: Have the report sent by email

Note:
A hardcopy of the report will not be provided.

You need to:
At the time of application:

  • Provide recipient's email address
You may: Have the report sent by Courier Mail

Note:
Only registered mail will be used for overseas address with a cost of S$10.10 (incl GST).

For failed courier delivery, recipient is required to collect the medical report or duplicated document at the Patient Service Centre on Saturdays (excluding Public Holidays) between 8.30am and 12.30pm.

You need to:
At the time of application:

  • Provide recipient's name, address and contact number.
  • Pay an administrative fee of $10.10 for address in Singapore only.
Authorise a representative to collect the report

You need to:
Sign the Authorisation Letter (91KB).

Provide for our retention a copy of:

  • The representative’s NRIC
  • The applicant’s NRIC or identification document

In accordance with the Personal Data Protection Act (PDPA), application for medical report can only be made by the patient, with the following EXCEPTIONS:

  • If the patient is
    • a minor
    • deceased
    • mentally incapacitated
  • If the report is for Work Injury Compensation, application may be made by the employer. The report will be sent directly to the Ministry of Manpower.
  • If the patient is a foreign worker who has left Singapore, application may be made by the employer. The purpose is solely for insurance claim, to reimburse the medical bills incurred by the patient.
If … Application and consent by … To provide …

Patient is a minor

Below 21 years old and NOT

  • an active NS man
  • married
  • widower or widow

Patient’s parent or legal guardian

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of:

  • Scanned / photocopy of: Patient’s NRIC (front and back)
  • Applicant’s NRIC or identification document (front and back)
  • Relevant verification documents e.g. birth certificate, marriage certificate, Letter of Administration as proof of the applicant’s relationship to patient

Patient is deceased

Legally appointed representative of the estate:

  • Executor of the deceased’s will, who has been granted probate
  • Person appointed as an administrator of the deceased’s estate by the Singapore court

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of:

  • Patient’s death certificate
  • Applicant’s NRIC or identification document (front and back)
  • Relevant verification documents e.g. Grant of Probate, Letter of Administration, other legal documents that certify the applicant as the legally appointed representative

Note:
The will itself is not a verification document.

Patient is deceased and has no will, and no person has been appointed as the legally appointed representative of the estate

Deceased’s closest relative (who is living and has the mental capacity to do so)

The closest relative is the elder, or eldest, of two or more such individuals as prioritised below:

  1. Spouse
  2. Child (includes legally adopted child)
  3. Parent
  4. Sibling
  5. Other relation

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of:

  • Patient’s death certificate
  • Applicant’s NRIC or identification document (front and back)

Completed Additional Consent for Release of Medical Information - Form B (PDF, 212KB) – for patient who is unable to give consent / deceased

  • Section A - to be completed by the applicant
  • Section B (if the applicant is not the only living child / parent / sibling) - to be completed by all living children / parents / siblings of the deceased patient (other than the applicant)
  • Scanned / photocopy of relevant verification documents as proof of relationship to the deceased patient (e.g. marriage certificate, birth certificate) to be provided by each declarant (i.e. child / parent / sibling)

Patient lacks mental capacity

Legally appointed representative, who is a donee of a Lasting Power of Attorney granted by the patient

Or

Deputy appointed for the patient by the court

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of Letter of Administration, Lasting Power of Attorney, Order of the Court (Appointment of Deputy) as proof of the applicant’s relationship to the patient

Patient lacks mental capacity and does not have a legally appointed representative

Patient’s main caregiver

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Completed Additional Consent for Release of Medical Information - Form B (212KB) – for patient who is unable to give consent / deceased

  • Section A - to be completed by the applicant
  • Section B (if the applicant is not the only living child / parent / sibling) - to be completed by all living children / parents / siblings of the deceased patient (other than the applicant)
  • Scanned / photocopy of relevant verification documents as proof of relationship to the deceased patient (e.g. marriage certificate, birth certificate) to be provided by each declarant (i.e. child / parent / sibling)

Patient is a foreign worker who has left Singapore

Employer

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Completed Indemnity Form - Form C (PDF, 83KB) signed by the employer

Photocopy of MOM’s letter to verify that the patient has left Singapore

If: Patient is a minor

Below 21 years old and NOT

  • an active NS man
  • married
  • widower or widow

Application and consent by:

Patient’s parent or legal guardian

To provide:

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of:

  • Scanned / photocopy of: Patient’s NRIC (front and back)
  • Applicant’s NRIC or identification document (front and back)
  • Relevant verification documents e.g. birth certificate, marriage certificate, Letter of Administration as proof of the applicant’s relationship to patient
If: Patient is deceased

Application and consent by:

Legally appointed representative of the estate:

  • Executor of the deceased’s will, who has been granted probate
  • Person appointed as an administrator of the deceased’s estate by the Singapore court

To provide:

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of:

  • Patient’s death certificate
  • Applicant’s NRIC or identification document (front and back)
  • Relevant verification documents e.g. Grant of Probate, Letter of Administration, other legal documents that certify the applicant as the legally appointed representative

Note:
The will itself is not a verification document.

If: Patient is deceased and has no will, and no person has been appointed as the legally appointed representative of the estate

Application and consent by:

Deceased’s closest relative (who is living and has the mental capacity to do so)

The closest relative is the elder, or eldest, of two or more such individuals as prioritised below:

  1. Spouse
  2. Child (includes legally adopted child)
  3. Parent
  4. Sibling
  5. Other relation

To provide:

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of:

  • Patient’s death certificate
  • Applicant’s NRIC or identification document (front and back)

Completed Additional Consent for Release of Medical Information - Form B (PDF, 212KB) – for patient who is unable to give consent / deceased

  • Section A - to be completed by the applicant
  • Section B (if the applicant is not the only living child / parent / sibling) - to be completed by all living children / parents / siblings of the deceased patient (other than the applicant)
  • Scanned / photocopy of relevant verification documents as proof of relationship to the deceased patient (e.g. marriage certificate, birth certificate) to be provided by each declarant (i.e. child / parent / sibling)
If: Patient lacks mental capacity

Application and consent by:

Legally appointed representative, who is a donee of a Lasting Power of Attorney granted by the patient

Or

Deputy appointed for the patient by the court

To provide:

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Scanned / photocopy of Letter of Administration, Lasting Power of Attorney, Order of the Court (Appointment of Deputy) as proof of the applicant’s relationship to the patient

If: Patient lacks mental capacity and does not have a legally appointed representative

Application and consent by:

Patient’s main caregiver

To provide:

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Completed Additional Consent for Release of Medical Information - Form B (PDF, 212KB) – for patient who is unable to give consent / deceased

  • Section A - to be completed by the applicant
  • Section B (if the applicant is not the only living child / parent / sibling) - to be completed by all living children / parents / siblings of the deceased patient (other than the applicant)
  • Scanned / photocopy of relevant verification documents as proof of relationship to the deceased patient (e.g. marriage certificate, birth certificate) to be provided by each declarant (i.e. child / parent / sibling)
If: Patient is a foreign worker who has left Singapore

Application and consent by:

Employer

To provide:

Completed Application & Consent for Release of Medical Information - Form A (PDF, 456KB)

Completed Indemnity Form - Form C (PDF, 83KB) signed by the employer

Photocopy of MOM’s letter to verify that the patient has left Singapore

To Contact Medical Records Office

Hospital Contact Number Email

Khoo Teck Puat Hospital

Tel: 6602 2477
Fax: 6602 3786

ktph.mro.enquiry@ktph.com.sg

Yishun Community Hospital

Tel: 6807 8695
Fax: 6807 8519

ych.mro.enquiry@yishunhospital.com.sg

Admiralty Medical Centre

Tel: 6807 8328
Fax: 6807 8327

admc.mro.enquiry@ktph.com.sg

Hospital: Khoo Teck Puat Hospital

Tel: 6602 2477
Fax: 6602 3786
Email: ktph.mro.enquiry@ktph.com.sg

Hospital: Yishun Community Hospital

Tel: 6807 8695
Fax: 6807 8519
Email: ych.mro.enquiry@yishunhospital.com.sg

Hospital: Admiralty Medical Centre

Tel: 6807 8328
Fax: 6807 8327
Email: admc.mro.enquiry@ktph.com.sg



Frequently Asked Questions

What is a Doctor’s Statement or Attending Physician’s Statement?

This is a medical report set in a form format, provided by an insurance company to be completed by the doctor who attended to the insured person for his/her illness.

If I have been seen by two different doctors in Khoo Teck Puat Hospital, can I request for one consolidated medical report?

The two doctors you had visited were for two different reasons. It is necessary for each doctor to write the medical report based on your medical condition and the treatment given. Hence, you need to request for two separate medical reports.

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

There is a fee for each report. You are advised to request for the report that is relevant for the purpose of your claim.

Can I use MediSave or MediFund to pay for the medical report?

No. MediSave and MediFund cannot be used.

What supporting document can the hospital provide me for my outpatient visit / hospitalisation claim?

You may request for:
Visit Summary - for A&E visit and 23hr stay
Referral Letter - in which you are referred to Khoo Teck Puat Hospital
Inpatient Discharge Summary – for admission
Patient Report – for day surgery or endoscopy procedure

Please request for the required document on the day of appointment or discharge.

Can my insurance company request for a copy of my medical records (Inpatient Discharge Summary)?

Yes. The appointed insurance company must submit an official letter with your signed consent and copy of your NRIC, if available.

Why must I pay for a medical report?

The doctor needs to review the patient’s full medical records to prepare the report with the information as required. This is not done during the patient’s outpatient visit or hospital stay. Hence, the outpatient consultation fee or hospitalisation bill does not include the cost of medical reports. The fee levied for providing the medical report covers the hospital’s administrative costs and the doctor’s professional input.

Can I view my own medical record and medication list?

You may access some of your clinical records at the HealthHub portal.

At present, patients may view their records, which include:

  • Immunisations
  • Laboratory test results
  • Screening records
  • Discharge information
  • Vital health tracking
  • Appointment information
  • Medications

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