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Mode of Request

By Walk In

  • Medical Report Counter, Ground Floor, Block B,
    InstitutJantung Negara
    145, Jalan Tun Razak,
    50400 Kuala Lumpur,Wilayah Persekutuan
By Email
  • Drop us enquiry / application at hims@ijn.com.my
    a) Please download IJN application and consent form here.**
    b) Complete the form if:

    1. Patient / Guardian – fill in Part 1
    2. Next of kin / agent – fill in Part 1 &Part 2

    c) Make payment (for applied application only)
    d) Scan and email IJN application form, formal application form and receipt payment.

By Post
  • For post application
    a) Please download IJN application and consent form here.**
    b) Complete the form if–

    1. Patient / Guardian – fill in Part 1
    2. Next of kin / agent – fill in Part 1 &Part 2

    c) Money Draft written to “InstitutJantung Negara Sdn Bhd”
    d) Post to Health Information Management Services
    InstitutJantung Negara
    145, Jalan Tun Razak,
    50400 Kuala Lumpur, Wilayah Persekutuan

**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 approval (applied application only).
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