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) or Passport
   3. Purpose-Specific Forms (if applicable)
   • Insurance claim forms, KWSP / PERKESO / SOCSO forms, lawyer 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 Patient’s NRIC / Passport
   4. Copy of Parent / Guardian’s NRIC or Passport
   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 – signed by the patient
   3. Copy of Patient’s NRIC / Passport
   4. Copy of Representative’s NRIC / Passport
   5. Purpose-Specific Documents (insurance claim, legal request etc.)
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 Identification Card (I/C) of parent/spouse
   6. Copy of Identification Card (I/C) of the deceased
   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 Identification Card (I/C) of sibling/child
   6. Copy of Identification Card (I/C) of the deceased

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 should be ready for collection within 4 weeks from the time all required documents are submitted.

• Unavailability of doctors (e.g. away on leave/conference)
• Patients are still admitted/hospitalized
• Patients have multiple reports requested from several doctors
• Doctors are sessional and have limited sessions at Pantai Hospital Kuala Lumpur (e.g. only one sessions per week)
• Only visiting/locum doctor and has no clinic at Pantai Hospital Kuala Lumpur
• Incomplete supporting documents during application

Specialist Medical Reports or expert opinion cases may require longer processing time as a review at the Specialist Outpatient Clinic may be required after the patient has been discharged or being referred by legal firm or an open date given from clinic review.

• 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
    Account No:	HBMBMYKLXXX
    Beneficiary:	MYR
    Payment Reference:	Medical Report

1. Collection at MRD Counter
   • 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.