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MEDICAL RECORDS AND CERTIFICATE APPLICATION
Application Process
Fill out the medical record copy application form, verify the identification documents, make the payment, and collect the requested documents.
Medical Records Copy Request Form (Online Application):
Authorization Letter for Requesting Copy of Medical Records:
Application for Pick-up Time and Location
Time \ Location | First floor of the medical building Billing and Registration Counter / Inpatient Center "Copy of Medical Records Request/Collection Area"」 |
Outpatient clinic | Online application |
---|---|---|---|
Monday to Friday | 08:30 AM - 12:00 PM (morning) 01:00 PM - 05:00 PM (afternoon) |
08:30 AM - 09:00 PM (morning to evening) | record@mail.cmuhch.org.tw After receiving the online submission, we will contact you by phone within 3 days to verify your identification documents and confirm the pick-up time. |
Saturday | 08:30 AM - 12:00 PM (morning) | ||
※For requests received beyond the service hours, they will be processed on the next business day. ※For on-site pick-up, please allow a waiting time of 90 minutes. Alternatively, you can make an appointment for pick-up to reduce your waiting time. |
Applicants must provide supporting documents.
Supporting Documents \ Applicant | Application by the Patient Himself/Herself | Application for a Minor | Application for a Deceased Individual | Application by an Authorized Representative (Please have both the patient and the authorized representative sign and stamp on the authorization letter) |
---|---|---|---|---|
Original ID card of the patient | v | v | ||
Original ID card of the authorized representative | v | |||
Original ID card of the legal guardian | v | |||
Original ID card of the person with inheritance rights | v | |||
Authorization letter signed by the patient personally | v | |||
Proof of relationship | For minors who do not have an ID card yet, the household registration document can be used as a substitute. | Certificate of removal from household register (Household registration transcript) |
Proof of relationship required for the documents in the authorized representative's application |
Fee Schedule:
1.Copy of medical records and reports: Basic fee of 200 NTD (up to 10 pages); an additional 5 NTD per additional page.
2.Printing of color examination reports and trauma photos: Basic fee of 200 NTD (up to 5 pages); an additional 40 NTD per additional page.
3.CDs/DVDs: 200 NTD for the first examination; an additional 50 NTD for each additional examination from the second to the sixth; 500 NTD for seven or more examinations (an additional 100 NTD per CD/DVD if there are multiple discs).
4.Chinese medical record summary: 650 NTD per department, available for collection in 7-14 working days.
5.Self-paid postage fees: Regular mail (limited to domestic addresses) - 50 NTD, Express mail - 120 NTD.
※Medical records contain personal privacy information. In order to protect the rights and interests of patients, incomplete applications will not be processed.※