- 01 Military service certificate (or proof of military service) if in the military service, certificate of confinement if incarcerated, or certificate of entry/exit if abroad
- 02 Consent Form for Issuance (or Access) of Medical Record Copies (Annex Form No. 9- 2)
-
03
Power of Attorney for Issuance (or Access) of Medical Record Copies (Annex Form No. 9-3)
If it is difficult to submit the original documents, you may submit the forms with handwritten signatures by fax or a printed, scanned file.
Medical record copies can only be issued if you bring items #1, 2, and 3, as well as the representative’s ID and documents verifying the family relationship.
- Outpatient billing statement: Certificate/Records Desk, Central Building, 1F
- Inpatient billing statement: Discharge Desk, Central Building, 2F




