For Patients (or Next of Kin / Authorised Representatives):

1. Completed Application for Release of Medical Information Form

2. A copy of the patient’s identification document (NRIC or passport)

3. Completed Authorisation Form for the release of records to a designated recipient (e.g. hospital, organisation)

4. Purpose letter (only required if further explanation of the request is necessary)

For Third-Party Requests (e.g. Insurance, Government, Companies):

1. Official application letter from the requesting organisation

2. Patient consent or completed Authorisation Form permitting release of medical records

3. A copy of the patient’s identification document (NRIC or passport)

Additional Notes:

• Patient consent or a completed Authorisation Form must be obtained prior to processing

• Proof of relationship to the patient (e.g. marriage certificate, birth certificate) is required where applicable

• Medical form or questionnaire must be submitted if applicable

Important Note:

• Incomplete documents may delay or prevent the processing of your request