Our Medical Records Department (MRD) provides service for the request of Insurance Claim (pay and claim) and Medical Report from lawyers’ office, EPF, SOCSO or police reports.
How do I apply for Medical Report?
Contact No.: +606 – 7631 688 (EXT 320)
Email : hilfa@cmhspecialist.my
Address:
Medical Records Department (3rd Floor)
CMH Specialist Hospital Jalan Tun Dr.Ismail, 70200 Seremban,Negeri Sembilan Darul Khusus, Malaysia.
Business Hour:
Monday – Friday: 8:30am – 5:00pm
Saturday: 8:30am – 12:30pm (*Lunch Break 1:00pm – 2:00pm will be closed)
Sunday & Public Holidays: Closed
What are the documents required?
We require the documents listed below for us to process your request.
- Consent form
- Copy of patient’s IC
- Formal Application Letter i.e Query Letter/Claim form from the Insurance Company, Lawyer letter, Socso form or etc.
How soon can I obtain my Medical Report?
Standard Medical Report or Insurance Claim is ready for collection within 15 working days from the time of request. There are cases where request may take longer than the stipulated completion period. Delays in prompt processing may be due to:
- The doctor is away on leave
- Patient has upcoming clinic appointments
- Patient has been admitted/hospitalized
- Patient has multiple reports requested from several doctors
- Visiting doctor without clinic session in CMH Specialist Hospital
How much is the Medical Report fee?
The fee schedule for the completion of the Medical Reports is as per the table below. There may be additional charges imposed on the report and you will be notified. The additional fee will be collected from you upon completion of the report.
| No. | Type of Report | Fee (RM) |
| 1 |
Clarification Report for Insurance Company
|
60 |
| 2 |
Hospitalisation / OP Claim Form / Claim Form |
|
|
1 Page |
60 | |
|
2 or More |
80 | |
| 3 |
Healing Progress Form |
80 |
| 4 |
Questionnaire / Critical Illness Form / Total Permanent Disability / Obstetrics and Gynaecology / Personal Accident Claim / APS |
100 |
| 5 |
Free Text Report MAR |
180 |
| 6 |
Socso Report |
40 |
| 7 |
EPF (KWSP) Report |
50 |
| 8 |
Medico-Legal Report |
|
|
Deposit |
300 | |
|
Brief Report |
200-500 | |
|
Detailed Report |
500-800 | |
| 9 |
Clarification Report for Medico-Legal |
FOC |
| 10 |
Discharge Summary |
FOC |
| 11 |
Missing of Medical Certificate (Copy) |
5 |
| 12 |
Police Report / Government Report / Declaration Report |
FOC |
| 13 |
All NGO’s Form and OKU, Baitumal etc |
FOC |
What is the mode of Payment?
Payment can be made to any of the following:
- Cash
- Cheque
– Cheque is to be issued in favour of “Negri Sembilan Chinese Maternity Association“ - Online Transaction
- Cash Deposit
Payment via Bank Transfer:
- HONG LEONG
Account Name: Negri Sembilan Chinese Maternity Association
Account Number: 01100109288 - CIMB
Account Name: Negri Sembilan Chinese Maternity Association
Account Number: 8601095321
How will I receive the Completed Medical Report?
Upon completion of your report, our personnel will contact you through phone. You have an option either to:
Collect at Medical Record Counter at 3rd Floor of CMH Specialist Hospital:
Contact number to be provided at the point of application.
Patient will be contacted as soon as the report is ready for collection.
How long Hospital will keep Patient’s Record?
Our policy is to keep the patient record for five (5) years only.