1. If you are the patient aged 18 years or older:
   1. Application & Consent To Release Medical Information Form
   2. Copy of NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   3. Purpose-Specific Forms (if applicable)
      • Insurance claim forms, KWSP / PERKESO / SOCSO forms, lawyer letters, embassy letters etc., depending on the report use
2. If the patient is under 18 years old or mentally incapacitated:
   (A parent or legal guardian must apply on behalf of the patient)
   1. Application & Consent To Release Medical Information Form
   2. Copy of Patient’s Birth Certificate
   3. Copy of NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   4. Copy of Parent / Guardian’s NRIC (Identify Card) showing both the front and back, or a copy of the passport biodata page
   5. Purpose-Specific Forms (if applicable)
      • Insurance claim forms, KWSP / PERKESO / SOCSO forms, lawyer letters, embassy letters etc., depending on the report use
3. Representative (Agent / Lawyer / Insurance / Employer):
   (A representative may apply on behalf of the patient when authorized to do so)
   1. Application & Consent To Release Medical Information Form
   2. Letter of Authorization (LOA) – signed by the patient
   3. Copy of patient’s NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   4. Copy of Representative’s NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   5. Purpose-Specific Forms (if applicable)
      • Insurance claim forms, KWSP / PERKESO / SOCSO forms, lawyer letters, embassy letters etc., depending on the report use
4. For Deceased Patient(s):
   (Medical report is requested after death)
   1. If the requestor relationship to the patient is spouse/parent:
   1. Application & Consent To Release Medical Information Form (signed by spouse/parent)
   2. Copy of Death Certificate
   3. Copy of Marriage Certificate (to verify relationship between the deceased and spouse)
   4. Copy of Birth Certificate (to verify relationship between the deceased and parent)
   5. Copy of parent/spouse’s NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   6. Copy of deceased’s NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   2. If the requestor relationship to the patient is sibling/child:
   1. Application & Consent To Release Medical Information Form
   2. Letter of Authorisation (LOA) or Grant of Probate (for non-Muslim) or Surat Kuasa Mentadbir (for Muslim) – official court document stating the appointed administrator of the deceased’s estate
   3. Original Consent Letter signed by the appointed administrator
   4. Copy of Death Certificate
   5. Copy of sibling/child’s NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page
   6. Copy of deceased’s NRIC (Identity Card) showing both the front and back, or a copy of the passport biodata page

1. Walk in :
   Medical Report Room, Level 5, Block A
   Pantai Hospital Kuala Lumpur
2. Email:
   [email protected]
3. Courier :
   Health Information Department
   Pantai Hospital Kuala Lumpur,
   No 8, Jalan Bukit Pantai,
   59100 Kuala Lumpur

Standard Medical Reports and Insurance Claims are processed within an estimated timeframe of four (4) weeks from the date all required documents are submitted.

• Doctor unavailability (e.g. on leave or attending conferences)
• Patient currently admitted or hospitalised
• Upcoming clinic appointments
• Requests involving multiple reports from different doctors
• Doctors with limited clinic sessions at Pantai Hospital Kuala Lumpur
• Visiting or locum doctors without fixed clinic schedules at Pantai Hospital Kuala Lumpur
• Submission of incomplete supporting documents

Specialist medical reports or expert opinion cases may require a longer processing time, as a review at the Specialist Outpatient Clinic may be necessary. This may occur following patient discharge, upon referral by a legal firm, or when an open-dated clinic review has been scheduled.

Request Type	Fee Starting From (RM)
Processing Fee for all type of applications (per application)	RM22.75
Upfront payment for Simple Insurance Form/SOCSO/EPF (Completed by Medical Officer – ED Doctor) Provides brief information on the final diagnosis, procedure conducted and the consultation dates.	RM80
Simple Insurance Form/SOCSO/EPF (Completed by Specialist) Provides brief information on the final diagnosis, procedure conducted and the consultation dates.	RM80
Details Insurance Form/SOCSO/EPF (Completed by Specialist) Provides more detailed information on the diagnosis, procedure conducted, the medical conditions and/or treatment given.	RM115
Upfront payment for Medical Report - Simple (Written Medical Report by Medical Officer)	RM115
Medical Report - Simple (Written Medical Report by Specialist)	RM115
Medical Report for Lawyer (Simple) (Written Medical Report by Specialist / MO)	RM115
Medical Report for Lawyer (Intermediate) (Written Medical Report by Specialist)	RM250
Medical Report for Lawyer (Complex) (Written Medical Report by the MO/Specialist that provides a specific opinion or prognosis)	RM500
Medical Report for medico-legal examination	RM570 - RM2,290
Medical Report for evaluation of disability examination	RM570 - RM2,290
Medical Report for Participation in Medical Board Examination	RM570 - RM2,290

• Cash or Debit / Credit Card at cashier counter, Level 5
• Online Transactions
  • Account details:

    Bank Name:	HSBC Bank Malaysia Berhad
    Account No:	201-816154-906
    Beneficiary:	Pantai Hospital Kuala Lumpur
    Payment Reference:	Medical Report

  • For international online transfer:

    Registration No:	198101006941
    SWIFT CODE:	HBMBMYKLXXX
    Account Currency:	MYR
    Payment Reference:	Medical Report

1. Collection at Medical Report Room, Level 5, Block A
   • Original NRIC or Passport is required for identity verification
2. Email Delivery
   • The report will be sent to the email address provided in the Release Form
3. Courier / Mail Delivery
   • The report will be couriered to the address stated in the Release Form

Yes, If collecting on behalf of the patient/requestor, an authorization letter signed by the patient is required.

No. The hospital will only release the medical report to the applicant or the authorized requestor. The applicant is responsible for submitting the report to the respective insurance company, SOCSO, EPF, or any other third party.

Email:	[email protected]
Business Hours:	Monday - Friday: 9.00am - 5.00pm (Open during lunch hour) Saturday: 9.00am - 01.00pm Sunday & Public Holidays: Closed
Contact No:	+60322989823

Application & Consent To Release Medical Information Form