Medical Reports & Claims (old)

Get the most out of
your treatments

Home > Medical Reports & Claims (old)

MEDICAL REPORTS & CLAIMS

The Medical Report Unit processes medical report management, including insurance claims and others.

Applicant of Medical Report

  • Patient
  • Parent / Legal Guardian (patient below 18 years)
  • Next of Kin i.e spouse, son, parent (deceased patient)
  • Appointed agent (insurance, legal firm & others)
  • Authorized Government Agency (PDRM, KKM, SPRM)

Purpose Applying for Medical Report

  • Insurance Claim
  • Legislation
  • Medical Board
  • Inquiry
  • Review and Others

Application & Consent form for Medical Report

Application & Consent form for CD and Film

**Email and Post will be entertain within 3 working days from the date received.
**Application will be processed after we received complete form and payment clearance (applied application only).

MEDICAL REPORT FEES

Medical Report (IJN Format)

No.
 Description
 Fee (RM)
1. Attending Physician Statement Form by Consultant 120
2. Attending Physician Statement Form by Clinical Specialist 100
3. Attending Physician Statement Form by Consultant 100
4. Insurance Claim Form by Clinical Specialist 80
5. EPF Incapacitation 100
6. EPF Health Withdrawal 50
7. SOSCO 50
8. Hajj Appeal letter/Hajj Book FOC

Medical Report (Form Prepared by External Party)

No.
 Description
 Fee (RM)
1. Full medical report by Consultant 200
2. Full medical report by Consultant – with doctor’s opinion 250
3. Full medical report by Consultant with Second Opinion (Non IJN Patient) 570
4. Full medical report by Clinical Specialist 100
5. Correspondence letter (Supporting letter is required. Download here (BM / EN)) FOC
6. Full medical report request by Authority Government bodies (PDRM, MOH, Court) FOC

Medical Report (Form Prepared by External Party)

No.
 Description
 Fee (RM)
1. Full medical report by Consultant 200
2. Full medical report by Consultant – with doctor’s opinion 250
3. Full medical report by Consultant with Second Opinion (Non IJN Patient) 570
4. Full medical report by Clinical Specialist 100
5. Correspondence letter (Supporting letter is required. Download here (BM / EN)) FOC
6. Full medical report request by Authority Government bodies (PDRM, MOH, Court) FOC

Medical Report (Additional Charges)

No.
 Description
 Fee (RM)
1. Administration Fees (Applicable for above MR Request for item 1-4 and 7-13) 20
2. Self-Collect FOC
3. Email FOC
4. Postage – Peninsular Malaysia 10
5. Postage – East Malaysia 16
6. Postage – International Subject To Courier Charges

Medical Report (Miscellaneous)

No.
 Description
 Fee (RM) per copy
1. Copy of Report
(i.e. Referral letter, investigation report, discharge summary, Medical Certificate (MC), Blood test, Operation report, Echocardiogram)		 10
2. Copy of CD (Angiogram, MSCT, Xray) 18
3. Copy of CD (ECHO) 25
4. Copy of Film (Xray) 20

FAQ

How to apply for Medical Report?
Empty section. Edit page to add content here.
[/vc_row_inner]

You can request by:

  • Walk in to Medical Report Counter @ IJN,
  • Email to hims@ijn.com.my,
  • Post to Health Information Management Services, Institut Jantung Negara
  • By IJN portal

When do I submit the form?

After completion of your visit to the Outpatient Clinic or after discharge from the ward.

Is there any payment or fee for Medical Report?

Payments are subject to the type of application. Please refer Medical Report Fees for more detail.

What is mode of payment for Medical Report?

Payment can be made to any of the following:

  1. Cash
  2. Online transaction – account detail
    1. Bank – Maybank
    2. Account name – INSTITUT JANTUNG NEGARA SDN BHD
    3. Account number – 5-14093-0000-23
    4. Swift code –MBBEMYKL (Please submit via email the scanned copy of bank transfer receipt to hims@ijn.com.my)
  3. Debit or credit card