PAYMENT QUESTION & ANSWER

Medical Report Fees (subject to fees Akta Fi, Perintah  What is the payment for Insurance /
Fi (Perubatan) (Kos perkhidmatan) 2014 dan SOCSO / EPF application
Pindaan Perintah Fi (Perubatan) 2003 P.U (A) 359 The fee is RM40 (Malaysian). Application for
claim purposes is included in the Ordinary
Resolution application.
Report Type Citizen Non Citizen MEDICAL REPORT
 Can I claim Insurance / SOCSO / EPF??
(RM) (RM) APPLICATION
Provide your Insurance / SOCSO / EPF
Brief Medical 40 120
Form. We do not provide any claim form.
Report
Brief Specialist 80 240  Can I get a copy for the Medical Record?
Medical Report Can not. The Medical Record is
Detail Specialist 200-1000 400-2000 CONFIDENTIAL. You are only allowed to
Medical Report* apply for the Medical Report as a summary of
* Depending on the complexity of providing the Specialist your Medical Record.
Medical Report.
 I have received treatment in 3 different
Clinical Departments. Why only 1
Further Medical Report prepared by the Medical departement provide reports?
Officer / Specialist, the payment is based on the You need to make 3 applications to get the
number of applications applied or based on the Medical Report from the 3 Clinical
complexity / expertise of providing the report. Departments. 1 application is only for 1
department and every application is charged. JABATAN REKOD PERUBATAN
HOSPITAL PUTRAJAYA
 Can I apply / take Medical Reports on Aras LG, Hospital Putrajaya,
Copy of a Medical Report Presint 7, 62250 Putrajaya
behalf of my friend?
Yes, provided Consent Letter from your No. Tel: 03-83124243/4244
Application for a Medical Report copy for the same
friend who clearly states your name as a Website: http://www.hpj.gov.my/portal
purpose is charged 50% of the original charge
representative on his behalf.
Operation Hour:
Mon-Thurs (8.00am-1.00pm, 2.00pm-5.00pm)
Friday (8.00am-12.15pm, 2.45pm-5.00pm)
PATIENT & FAMILY’S RIGHT. APPLICANT CATEGORY D. NEXT OF KIN (spouse, parents, child, sibling)
1. Consent letter from patient / relative
Patient or relative can obtain information on patient's A. PATIENT (SELF) (mention of applicant name / relative)
treatment and health through the MEDICAL REPORT 1. Copy of IC / Passport 2. Copy of patient’s IC
application. 2. Copy of appointment card 3. Copy of applicant / relative’s IC
3. Payment (depends of type of report) 4. Copy of appointment card
WHAT IS MEDICAL REPORT? 4. Related form 5. Copy of Married Certificate
(Insurance / EPF / SOCSO) 6. Copy of Birth Certificate
Medical Report is a written information on the history,
5. Copy of Medical Certificate (MC) 7. Letter of Declaration Statutory / Letter of Order
level of health and condition of the patient who have
been hospitalized and can only be provided by the Court (if applicable)
B. PARENT 8. Copy of Burial Permit / Death Certificate is patient
Medical Officer of the Clinical Department where the
(patient below 18 years old) passed away.
patient is receiving treatment.
1. Copy of Birth Certificate 9. Payment (depends of type of report)
Reports are based on the information available in the
2. Copy of parents / guardian IC 10. Related Form (Insurance / EPF / SOCSO)
Patient Medical Record.
3. Copy of appointment card
4. Payment (depends of type of report)
TYPE OF MEDICAL REPORT
5. Related form The complete Medical Report application will
(Insurance / EPF / SOCSO) be completed by the appropriate Medical
1. Brief Medical Report.
2. Brief Specialist Medical Report. Officer within 28 working days excluding
C. AGENT / REPRESENTATIVE Public Holidays (Saturday & Sunday) and
3. Detail Specialist Medical Report.
4. Autopsy Report. 1. Original consent letter from patient / relative Public Holiday. This period only applies to
5. Insurance / SOCSO / EPF Form (mention name of agent / representative / Brief Medical Reports only and does not
6. Labour 90 Form (Medical Certificate of applicant) include the Detail Specialist Medical Report,
Employment Compensation Ordinance, 2. Copy of patient / relative’s IC / Passport Autopsy Report and Explanation Report.
1952) 3. Copy of applicant / agent / representative’s IC
7. Application from Employer / Police / Army. 4. Copy of appointment card
5. Copy of Birth Certificate
Medical Report application can be made directly at (patient below 18 years old)
the counter of Medical Records Department or by 6. Payment (depends of type of report)
submitting a complete application to the following 7. Related Form (Insurance / EPF / SOCSO)
address: 8. Copy of Burial Permit / Death Certificate (if patient
passed away)
The Hospital Director, 9. Consent Letter from embassy if relative
Hospital Putrajaya
unreachable (foreigner)
Presint 7, Pusat Pentadbiran Kerajaan Persekutuan
62250 Putrajaya
U/P: Head of Medical Recors Department