TERMS AND CONDITIONS

To ensure a smooth application process for medical reports at ALTY Orthopaedic Hospital, please take note of the following guidelines: 

 PROCESSING TIMELINE

• Standard applications take a minimum of 14 working days (excluding weekends, public holidays, and doctor’s leave).
• Processing may take longer due to unforeseen circumstances.
• Legal, court, lawyer, and police-related requests require more than 14 working days. 

 d REQUIREMENT DOCUMENT (FOR SOCSO)

• For SOCSO applications, please attach:

• Form 34
• The official SOCSO Form. 
  
  
• All applications must include a completed and signed:

• “Consent to Release of Information” form.
• If the patient is a minor, this must be signed by a parent or legal guardian.

 d FEES & CHARGES

• Medical Report fee shall be paid before the report is release. 
• Staff from Medical Records Department will inform you the charges via email / whatsapp to requester. 
• The structure of medical report fee can be found at the medical report fee "tab".
• Delivery fees apply as optional.
• If the original report is lost or not delivered, no replacement will be issued. However, a photocopy can be provided for a fee of RM50.00. 

 d REPORT COLLECTION

• Completed reports can be collected:

• At the Hospital Business Office Counter (Level 5)
• Or sent via mail, courier, or email (after full payment) 
  
  

• If someone else is collecting the report, please provide a signed letter of authorization with the collector’s name and NRIC copy for verification. 

 d OTHER IMPORTANT NOTES

• If the doctor is no longer practicing at ALTY Orthopaedic Hospital:
  • A formal letter will be issued stating this.
  • The discharge summary and investigation results (if available) will be attached.
  • No charges will apply.
    
    
• If the patient’s record has been disposed:
  • A notification letter will be provided.
  • No charges will apply. 
    
    
• Please ensure the patient’s details are filled in on the application form before submission.
• Incomplete forms will not be processed. 

 d UNCLAIMED REPORT

• Medical reports that are not collected within 3 months will be disposed of without further notice.
• Only a scanned copy can be issued afterward, with a charge of RM50.00.

 

DOCUMENT REQUIRED

MEDICAL REPORT FEE

I, the above-named * patient / next of kin / legal representative of the above named patient, declare that the information provided above is true and correct to the best of my knowledge, and where applicable, do hereby expressly authorized ALTY ORTHOPAEDIC HOSPITAL to release the patient's medical report(s) as well as any / all information pertaining to the diagnosis and / or treatment given and / or received at ALTY ORTHOPAEDIC HOSPITAL to the requester stated above through the preferred method of release I have choose above. In the event. | choose of release other than self-collection, I accept the following terms:-

1. That the hospital advice me to collect the medical report(s) in person but choose to have the medical report(s) sent / release by the means I selected above. 
   
   
2. That I understand and accept that the risk of my personal and confidential information being delivered to unintended recipients.
   
   
3. That I shall not hold ALTY ORTHOPAEDIC HOSPITAL responsible for consequential losses, damages, loss of reputation or any other types of losses as a result of my choice of delivery / release of the medical report(s).

I have read and agree that my personal information set out in this form will be collected and processed in accordance to ALTY ORTHOPAEDIC HOSPITAL. I further undertake to settle all the cost and expenses incurred therein and release ALTY ORTHOPAEDIC HOSPITAL and its employee from any liabilities howsoever arising thereto. 

I hereby acknowledge and understand that I am required to settle the medical report fee, as stated and duly brought to my attention in the medical report fee section, prior to the release of the report to me, my appointed insurance agent, or any third-party requestor.