GUIDELINES FOR APPLYING MEDICAL REPORTS
To ensure your medical report application is processed accurately and without delay, please ensure that all required forms and supporting documents are submitted as listed below.
- Applicant / patient must submit:
- Borang Keizinan Permohonan Laporan Perubatan / Surat Perakuan Perubatan (BK-MIS-E034-E06)
- Copy of Identity Card (IC)
- Copy of UMMC Treatment Card
- Copy of Medical Leave Certificate (if required)
- For patients under 18 years old:Next-of-kin/guardian must complete Borang Keizinan Permohonan Laporan / Surat Perakuan Perubatan (BK-MIS-034).
Required documents:
- Borang Keizinan Permohonan Laporan Perubatan (BK-MIS-E034-E06)
- Copy of applicant’s Identity Card
- Copy of UMMC Treatment Card (if any)
- Copy of next-of-kin Identification Card
- For foreign applicants: Consent letter from Embassy is required
Please submit:
- Borang Keizinan Permohonan Laporan Perubatan (BK-MIS-E034-E06)
- Copy of Identity Card
- Copy of UMMC Treatment Card (if any)
- Copy of Medical Leave Certificate (if needed)
Please submit:
- Permohonan Pengesahan Sijil Cuti Sakit (BK-MIS-036-E01)
- Copy of Identity Card
- Copy of UMMC Treatment Card (if any)
- Original or copy of Medical Leave Certificate
Requirements:
- Applicant must complete Borang Keizinan Permohonan Laporan Perubatan (BK-MIS-E034-E06)
- Patient must attend the examination on the scheduled date
- Advance payment of RM500.00 is required
- Final charges will be informed upon completion of the report
|
Bil |
Type of Application |
Rate (RM) |
|---|---|---|
|
1 |
Insurance Claim Forms |
100.00 |
|
2 |
Medical Report / Post-Mortem Report |
W100.00 |
|
3 |
Specialist Medical Report |
500.00 – 2,000.00 |
|
4 |
Birth Confirmation |
80.00 |
|
5 |
Copy of Medical Report |
50% of medical report charges |
|
6 |
Copy of Specialist Medical Report |
50% of specialist report charges |
|
7 |
Copy (with serial number) – Medical Certificate / Birth Declaration / Time Slip |
5.00 |
|
8 |
Copy (without serial number) – Medical Certificate / Birth Declaration / Time Slip |
80.00 |
|
9 |
Medical Board |
200.00 |
Notes:
- Non-citizens will be charged double the citizen rate.
- New charges effective from 1 August 2021.
Contact Information
Manager
Medical Record Department
Level 1, Emergency Department
Universiti Malaya Medical Centre (UMMC)
59100 Lembah Pantai, Kuala Lumpur
📞 Tel: 03-7949 4315 / 2228
📠 Fax: 03-7954 1204
📧 Email: lp.jmp@ummc.edu.my