Unit: Operation Process Description / Query Processing Status
1. Submit application online.
2. Fill out the application form, including:
Patient's name.
Patient's ID number or residence permit number.
Patient's date of birth.
Identity type.
Purpose of data (referral, travel abroad, immigration, reference, insurance, military service, litigation, subsidy, other).
Requested content (emergency medical records, outpatient records, inpatient records, nursing records, ambulance record forms, blood and urine test reports, examination reports).
Number of copies requested.
Relationship of applicant to patient (self, family member, friend).
Contact name.
Contact phone number.
Contact email address.
Contact address.
Specified date range of medical records (start date and end date).
Remarks.
3. Medical service desk staff will accept the request, and once the record duplication is completed, the medical service desk staff will contact the patient or proxy (family member or friend).
4. After the patient or proxy presents proof documents and pays at the medical service desk, they can collect a copy of the medical record stamped with the National Military Kaohsiung General Hospital seal and matching the original content.
※ Note: If the application is not made in the patient's own identity, please download and complete the authorization form.
To protect patient rights and privacy, when collecting the documents, please prepare the following information for the medical service desk to verify
The patient himself/herself or his/her legal representative must present identification documents.
When the patient or his/her legal representative authorizes another person to apply on their behalf, they must present a signed authorization letter indicating the purpose and scope, along with identification documents.
If the patient is deceased and a family representative submits the application, a death certificate or household registration certificate and documents sufficient to prove the relationship to the patient must be presented.
If you have any questions regarding online application, please contact: (07)749-6751 ext. 726070 Ms. Chen
(Please call during business hours: Monday to Friday 08:00–16:30, no lunch break; Saturday 08:00–11:30).
