| The following fees apply from 1 January 2024. | |||
|---|---|---|---|
Medical Report Types available via NUHS App | Fee (inclusive of GST) | Estimated Turnaround Time | Download NUHS App Apple - IOS Android - Android  ** Please add your child/parent as dependent in NUHS app if you're applying on behalf of them. Please refer to below guide to submit your request via the NUHS App.  |
Medical Report / Memo | 6 Weeks | ||
| Memo | $20.40 | ||
Ordinary Medical Report | $120.00 | ||
Specialist Medical Report | $220.00 | ||
Filling Up of Insurance Form | |||
Simple Insurance Form | $40.70 | ||
Insurance Form (Ordinary) | $120.00 | ||
Insurance Form (Specialist / Disability Claim) | $220.00 | ||
Mom Form / Work Injury Compensation | |||
Work Injury Compensation Assessment Form | $101.90 | ||
Work Injury Compensation Medical Report Board | $363.70 | ||
CPF Medical Certification Form | |||
CPF Withdrawal on Reduced Life Expectancy Form (RLE) | $120.00 | ||
CPF Dependent Protection Scheme Form (DPS GEL) | $220.00 | ||
CPF Home Protection Scheme Form (HPS W14A) | $220.00 | ||
Others | |||
Lasting Power of Attorney Assessment (LPA) | $203.70 | ||
Second Opinion Report (for non-NUHS Patient) | $363.70 | ||
Court Appointment for Deputy Report | $489.00 | ||
Duplication of Documents | 7 Working Days | ||
Discharge Summary | $11.20 | ||
Investigation Results | $11.20 | ||
Additional consent and declarations may be required for verification purposes:
| Scenario | Additional Supporting Documents Required | Form Required |
|---|---|---|
| Patient who is a minor | Parent's NRIC, and patient's birth certificate as proof of the parent's relationship to patient | Form A |
| Authorisation for Collection of Medical Report on behalf of the patient | Applicant's NRIC as proof of applicant's relationship to the patient | Form B |
| Deceased Patient | Patient's death certificate, Applicant's NRIC and documents as proof of applicant's relationship to the patient | Form C |
| Patient with Mental Incapacity | Patient's NRIC, applicant's NRIC and document(s) as proof of the applicant's relationship to the patient (e.g. Lasting Power of Attorney) | Form D |
| Foreign Worker who has left Singapore or is missing | Cancellation letter of working permit from the Ministry of Manpower and the applicant's NRIC. A police report for missing person. | Form E |
| Verification of Authenticity of Medical Documents (e.g. medical certificate, discharge summary) | Applicant and Patient's NRIC | Form F |
For Singpass users: Please apply for a medical report via the NUHS App (under "Medical Report Request" module. You may download the NUHS App user guide for request medical reports here or watch the video tutorial here. Please refer to our cancellation policy prior to making your application.
If you are applying on behalf of your family member (parent/ child), please add them as a dependent and apply under their profile.
Please submit an enquiry using this form if your request meets the following criteria:
If you are requesting for medical report/records that is before June 2018, please request for the medical report/records through these respective administrations:
For more information or enquiries, please contact the Medical Records Office via the enquiry form and we will get back to you via email:
Please refer to Frequently Asked Questions for the application requirements.
Please be informed that any request for medical report will only be processed upon the receipt of the following items:
There will be no refund provided upon cancellation of investigation results, medical report certification, duplication of medical certificate and discharge summary.
For cancellation of all other reports, an admin fee of one-third the report price will be levied. No cancellation will be allowed once the report has been written by the doctor.
Charges have been updated as of 1 January 2024.
| Types of Medical Report | Fees |
|---|---|
Ordinary Medical Report It is a report put up by the doctor based on a patient's medical records. It is a factual record of the patient's medical problem. | $120.00 |
Specialist Medical Report This is a detailed medical report that usually highlights the history of medical complaint or injury. The doctor will include findings of the assessment as well as his or her opinion and prognosis of the patient. For patients with orthopaedic conditions, an appointment will be arranged for the patient to be reviewed by the doctor. For other disciplines, an appointment would only be arranged if the doctor request for it. Consultation fees will be charged separately by the clinic on the day of the assessment. | $220.00 |
Insurance Form (Ordinary) It is a detailed insurance claim form to be completed by the doctor. The form will require information such as: diagnosis, details of injuries suffered, and treatment provided. | $120.00 |
Insurance Form (Specialist or Disability Claim) It is a detailed insurance claim form provided by the insurance company for the doctor to assess the patient's disability or severity status. The form will require information such as: prognosis, diagnosis, details of injuries suffered, treatment given. Consultation fees will be charged separately by the clinic on the day of the assessment. | $220.00 |
Simple Insurance Form It is an insurance form usually requested by the insurance company. The form will require information such as the: diagnosis, diagnosis code, procedure performed, procedure code and name of referring doctor. | $40.70 |
Work Injury Compensation Form This is an assessment to determine work-related injuries, the degree and period of disability for workmen's compensation purpose under the Workmen's Compensation Act. Scope of the report is as per "Medical Report on Traumatic Injuries for Workmen's Compensation" form prescribed by the Ministry of Manpower. This may involve a review of the patient at the Specialist Outpatient Clinic. | $101.90 |
Work Injury Compensation Objection Form This is a referral from the Ministry of Manpower to assess and re-determine work-related injuries, the degree and period of disability when any of the parties (insurer, employer or injured worker) object to the results of the initial workmen's compensation assessment. Scope of the report is as per "Referral of Objection to Permanent Incapacity Under Compensation (Medical Board) Regulations 2005 - Medical Report on Traumatic Injuries for Workmen's Compensation" form prescribed by the Ministry of Manpower. Note: - The "Referral of Objection to Permanent Incapacity Under Compensation (Medical Board) Regulations 2005 - Medical Report on Traumatic Injuries for Workmen's Compensation" form needs to be obtained from the Ministry of Manpower. This may involve a review of the patient at the Specialist Outpatient Clinic. | $363.70 |
Lasting Power of Attorney Report Issuance of LPA Certificate. LPA report fees do not include the consultation fees, if patient has to be assessed by a specialist first for the purpose of providing these reports. Consultation fees will be charged separately by the clinic on the day of the assessment. | $203.70 |
Psychiatric Insurance Form/Report This report is prepared by a patient's psychiatrist in response to a request that requires professional opinion with regards to the patient's prognosis and disabilities. It is based on an actual assessment of the patient and may involve a review at the Psychological Medicine Specialist Outpatient Clinic. Consultation fees will be charged separately by the clinic on the day of the assessment. | $489.00 |
Therapy Report It is a report put up by a physiotherapist, occupational therapist, speech therapist or podiatrist on a patient's medical records. It is a factual record of the patient's medical problem such as diagnosis, treatment given, and performance of the patient based on the last therapy visit/session. | $101.90 |
Court Appointment for Deputy Report A report prepared by the patient's psychiatrist in response to requests that require a professional opinion with regards to the patient's prognosis and disabilities. It is based on an actual assessment of the patient and may involve a review at the Psychological Medicine Specialist Outpatient Clinic. Applicant has to make an appointment with the clinic for the Affidavit to be signed together with the Commissioner of Oath. | $489.00 |
Second Opinion Report (non-NUHS Patient) A medical report requested by a non-NUHS patient seeking a second opinion from a NUHS specialist. An appointment will be arranged for the specialist to assess the patient. The patient may be required to provide the attending specialist with his or her previous medical report or investigation results. | $363.70 |
Memo It is a statement from a doctor to state patient's diagnosis with no explanation of medical condition. | $20.40 |
Reprint of Issued Medical Certificate It is an application for a certified true copy of medical certificate for hospitalisation/outpatient medical leave issued by AH doctors. *Refunds from cancellations are NOT allowed for this report type. | $11.20 per copy |
Duplicate of Completed Medical Report A photocopy of a medical report issued by AH doctors. *Refunds from cancellations are NOT allowed for this report type. | $11.20 per copy |
Duplicate of Investigation Results Duplication of investigation results such as x-ray reports, CT scan reports, blood test results, ECG reports, Histopathology reports, Cytogenetic reports, Bone Density Report and Urine Test Result. *Refunds from cancellations are NOT allowed for this report type. | $11.20 per visit |
Duplicate of Discharge Summary Duplication of inpatient discharge summary that provides a summary of the patient's medical condition, diagnosis, procedure and medication given during a specific hospitalization episode. *Refunds from cancellations are NOT allowed for this report type. | $11.20 per copy |
Certified True Copy of Medical Report A duplicate copy of medical report previously issued by the doctor. This document will be for the hospital to certify it to be a true copy. *Refunds from cancellations are NOT allowed for this report type. | $11.20 per copy |
Pathology Slides Pathology blocks are not released. However, request for pathology slides may be made at a fee. Our pathologists will review the request and advise on the number of slides that will be provided. | S$23.40 per slide + S$11.20 processing fee |
Note:
As a general guide, the time required to process a medical report is approximately six (6) weeks from the date the Medical Records Office receives your completed application form, supporting document, and payment.
Requests for duplicate copies of investigation results, discharge summary or medical certificate processing time is approximately seven (7) working days.
Processing time may be extended if:
Note: The Institution can only process your application upon fulfilling the verifications and receipt of all necessary forms, supporting documents and payment.
Payment of medical report fees can be done via the following methods:
Pay online via following platforms
Pay via cheque through postal mail. Cheque to be crossed and made payable to Alexandra Hospital
Alexandra Hospital
378 Alexandra Road
Singapore 159964
Attention: Medical Records Office
Q1. Who can request for a medical report?
In accordance to the Personal Data Protection Act (No.26, 2012), an application for a medical report can only be made by the patient,
except if the patient is
A Minor
Please refer to Question 2 for details.
Deceased
Please refer to Question 3 for details.
Mentally Incapacitated
Please refer to Question 4 for details.
or if the report is for workmen compensation
Q2. Who is considered a minor?
A minor is someone who is:
If the patient is a minor, the request for medical report must be made by the patient's parent or legal guardian.
Q3. How do I request for the medical report of a deceased patient?
If the patient is deceased,
The application must be made by the Legally Appointed Representative of the Estate. This is either an executor of the deceased's Will who has been granted probate, or a person who has been appointed as an administrator of the deceased's estate by the Singapore Court.
In circumstances where the deceased has no Will and no person has been appointed as the Legally Appointed Representative of the Estate, and the application is not related to contentious court proceedings, then the application can be made by the deceased's nearest relative (who is living and possesses the mental capacity to process the application) as prioritised below. The Nearest Relative is the individual listed below, and is the elder or eldest of two or more such individuals:
To apply medical report of a deceased patient, please fill in Form A and Form C.
Q4. How do I request for the medical report of a mentally incapacitated patient?
If the patient lacks mental capacity, and in accordance with Mental Capacity Act (Cap 177A)
the application must be made by the Legally Appointed Representative of the patient, who is a Donee of a Lasting Power of Attorney granted by the patient or by a Court Appointed Deputy.
In circumstances where no person has been appointed as the Legally Appointed Representative, then the application must be made by the patient's main caregiver.
The main caregiver of the patient will be asked to fill up an Additional Declaration for Release of Medical information for Patient Who Lacks Mental Capacity Form if required. If there is more than one main caregiver, each main caregiver will be asked to sign the above-mentioned form separately.
To apply medical report of a mentally incapacitated patient, please fill in Form A and Form D.
Q5. Why do I need to pay for medical report?
This is a standard practice across all the Public Healthcare Institutions in Singapore.
Q6. Can I use my Medisave to pay for the charges of the medical report?
No, Medisave cannot be used to pay for a medical report.
Q7. Can I claim the medical report fees from my insurance company?
You will need to check with your insurance company.
Q8. My hospitalization bill is only about $200. How useful is the medical report for small claims?
For small claims (<$1,000), you are advised to process the insurance claim using the Inpatient Discharge Summary/Memorandum/Other Investigation Results. You should request for a medical report only if the insurance company requests for it.
Note: If you are requesting for your medical report to file an insurance claim, you are advised to obtain an Insurance Claim Form from your insurance agent.
Q9. I have been seen by two different doctors. Can I request for one consolidated medical report?
The two doctors you consulted were for different conditions. It is necessary for each doctor to write the medical report based on your medical condition and the treatment each of them rendered. Hence, you will need to request for two separate medical reports.
Q10. I have visited the hospital for various reasons. Which medical report should I be requesting?
You are advised to request for the medical report that is relevant to the purpose of your claim. Do note that each request for a medical report is chargeable.
Q11. What happens if the doctor is no longer with the hospital?
We will reassign an appropriate doctor to write the medical report. The procedure for application follows the normal process
Q12. What happens if a medical report cannot be processed?
The release of the patient’s medical information is subject to official approval by the institution. In the event that we are unable to process a medical report, the requestor will receive a notification and refund of the payment if the medical report fee has been paid.
Q13. I was a patient at the hospital before June 2018. How can I request for my medical report and/or records?
Alexandra Hospital premises were occupied by different administrations before June 2018. For all medical report requests prior to June 2018, please request for the medical report and/or records through these respective administrations:
For medical report requests on or after June 2018, please submit your request to us.
