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For Patients ＆ Visitors

Request for Medical Report

What You Need To Provide

Patient's written consent for release of medical information to allow the hospital to release information for a stated purpose.

For patients below 21 years of age, consent of the parent is required.
If the patient is deceased, a copy of patient's death certificate and other supporting documents, e.g. marriage certificate, letters of administration are required as proof of the representative's relationship to the patient.

A copy of the patient's NRIC / identification documents
A payment for the medical information required.

How To Request For Medical Information

Download and complete the consent form.
If patient is deceased, please submit the additional consent form (C).
If patient is mentally incapacitated, please submit the additional declaration form (D).
For submission of Insurance or MOM forms to be completed by physician, patient is to duly complete relevant portions.
Interested third parties can write in together with patient's consent, permitting the hospital to release medical information for a stated purpose. Please submit the authorisation form, together with the consent form.
Foreign workers whom have returned to their native country, employers are required to submit indemnity form for Workmen Compensation and cancellation of work permit.
Walk-in request by patients, NOK and insurance agencies can be processed via the following service points;

Urgent Care Centre (Block 6, Level 1 [Access via main lobby]
Admission and Service Counters at Ward 10 (Block 7, Level 2), Ward 13 (Block 7, Level 3)
Integrated Care Clinic (Clinic J @ Block 1, Level 2)

Alternatively, you can also request for your medical reports and download them via the OneNUHS Mobile App (under "Medical Report Request" module). Download the OneNUHS App user guide for requesting your medical reports here or watch the video tutorial below.

Note: Request for medical report will only be processed upon receipt of ID documents, signed consent form, required insurance form and appropriate payment.

Products and Services Available

Product and Services Available

Price

Ordinary Medical Report:

A report put up by the doctor based on patient's medical records. It is a factual record of the patient's medical conditions.

$100

Specialist Medical Report:

A detailed medical report that usually highlights the history of a medical complaint or injury. The doctor will include findings of the assessment as well as their opinion and prognosis of the patient. For Orthopaedic cases, an appointment will be arranged for the patient to be reviewed by the doctor. For other disciplines, an appointment would only be arranged if the doctor requests on a needs basis. Consultation fees will be charged separately by the clinic on the day of the assessment.

$200

Specialist Psychiatrist Report:

This report is prepared by a patient's psychiatrist in response to a request that requires professional opinion with regards to the patient's prognosis and disabilities. It is based on an actual assessment of the patient and may involve a review at the Psychological Medicine Specialist Outpatient Clinic. Consultation fees will be charged separately by the clinic on the day of the assessment.

$480

Second Opinion Report (non-NUHS Patient):

A medical report requested by a non-NUHS patient seeking second opinion from an NUHS specialist. An appointment will be arranged for the consultant to assess the patient. Patients may be required to provide the attending specialist with their previous medical report or investigation results.

$357

Simple Insurance Form:

A simple insurance form usually requested by insurance company of a Group Department. The form will require information such as: Diagnosis, Diagnosis Code, Procedure, Procedure Code, Referring Doctor.

$40

Completion of Insurance Form (Ordinary)

A detailed insurance claim form to be completed by the doctor. The form will require information such as: diagnosis, details of injuries suffered, treatment given.

$100

Completion of Insurance Form (Specialist/Disability Claim)

A detailed insurance claim form provided by the insurance company for the doctor to assess the patient's disability status. The form will require information such as: prognosis, diagnosis, details of injuries suffered, treatment given. Consultation fees will be charged separately by the clinic on the day of the assessment.

$200

Work Injury Compensation Assessment Form

This is an assessment to determine work-related injuries, the degree and period of disability for workmen's compensation purpose under the Workmen's Compensation Act. Scope of the report is as per "Medical Report on Traumatic Injuries for Workmen's Compensation" form prescribed by the Ministry of Manpower.

$100

Lasting Power of Attorney Report:

Issuance of LPA Certificate. LPA Report Fees do not include the consultation fees, if patient has to be assessed by a specialist first for the purpose of providing these reports. Consultation fees will be charged separately by the clinic on the day of the assessment.

$200

Court Appointment for Deputy Report:

This report is prepared by the patient's psychiatrist in response to requests that require a professional opinion with regards to the patient's prognosis and disabilities. It is based on an actual assessment of the patient and may involve a review at the Psychological Medicine Specialist Outpatient Clinic. Applicant has to make an appointment with the clinic for the Affidavit to be signed together with the Commissioner of Oath.

$480

Duplication of Investigation Results/Day Surgery/Discharge Summary (per copy)

Duplication of Investigation Results such as X-ray Reports, CT Scan Reports, Blood Test Results, ECG Reports, Histopathology Reports, Cytogenetic Reports, Bone Density Report and Urine Test Result. Inpatient Discharge Summary is a document that provides a summary of the patient's medical condition, diagnosis, procedure and medication given during a specific hospitalization episode. Day Surgery Report is a duplicate copy of the Day Surgery Discharge Summary. It will provide brief information of the surgery, diagnosis and procedure.

$11

Certified True Copy of Medical Report/Medical Certificate (per copy)

It is an application for a certified true copy of medical certificate for hospitalization/outpatient medical leave issued by doctors or a duplicate copy of medical report that was previously issued.

$11

Memo:

Memo is a statement from a doctor to state patient's diagnosis with no explanation of medical condition.

$20

Therapy Report:

It is a report put up by either Physiotherapist, Occupational Therapist, Speech Therapist or Podiatrist on patient's medical records. It is a factual record of the patient's medical condition such as diagnosis, treatment given and performance of the patient based on last therapy visit.

$100