06-7631688
Request for Medical Report

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)

Address:
Medical Records Department (3rd Floor)
NSCMH Medical Centre 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

    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 NSCMH Medical Centre
    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 “NSCMH Medical Centre
    • 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 NSCMH Medical Centre:

    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.