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No | Description | Fee (RM) |
Medical Report (IJN Format) | ||
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** | FOC |
6 | Full medical report request by Authority Government bodies (PDRM, MOH, Court) | FOC |
Medical Report ( Form prepared by external party) | ||
7 | Attending Physician Statement Form by Consultant | 120 |
8 | Attending Physician Statement Form by Clinical Specialist | 100 |
9 | Attending Physician Statement Form by Consultant | 100 |
10 | Insurance Claim Form by Clinical Specialist | 80 |
11 | EPF Incapacitation | 100 |
12 | EPF Health Withdrawal | 50 |
13 | SOSCO | 50 |
14 | Hajj Appeal letter/Hajj Book | FOC |
Medical Report (Miscellaneous) | ||
15 | Copy of Report (i.e. Referral letter, investigation report, discharge summary, Medical Certificate (MC), Blood test, Operation report, Echocardiagram,) | 10 per piece |
16 | Copy of CD (Angiogram, MSCT, Xray) | 18 per piece |
17 | Copy of CD (ECHO) | 25 per piece |
18 | Copy of Film (Xray) | 20 per piece |
Additional Charges | ||
19 | Administration Fees (Applicable for above MR Request for item 1-3 and 6-12) | 20 |
20 | Self-Collect | FOC |
21 | FOC | |
22 | Postage – Peninsular Malaysia | 10 |
23 | Postage – East Malaysia | 16 |
24 | Postage – International | Subject To Courier Charges |
** For FOC application, supporting letter are required. (Download here)