Medical Reports

Insurance Related Reports

1. Hospitalization & Outpatient Claim Form / Personal Accident (PA) Form

Where to get the Form? The form can be obtained from your insurance company or agent.

Do I need to submit the whole set of the Form? Yes, you need to submit both Part 1 (patient’s part) and Part 2 (doctor’s section) of the above Form to SDMC SJ for the doctor to complete.

Do I need to complete Part 1 of the Form? Yes, please complete Part 1 of the Form before submission. It is particularly important with PA form especially the section pertaining to history and nature of injury.

When do I submit the Form? After completion of your visit to the Outpatient clinic or discharge from the ward.

Do I need to sign the Form? Yes, it should be duly signed by the claimant or insured.

2. Attending Physician Statement (APS) / Medical Attendance Report (MAR) / Questionnaire

What is APS/MAR/Questionnaire?

APS/MAR is a form/letter issued by the insurance company to obtain historical medical information of a patient who has an intention to purchase or renew an insurance policy.

Questionnaire is a set of questions raised by the insurance company to obtain information pertaining to a specific disease/condition of a patient such as hypertension, diabetes, asthma, epilepsy etc.

Who should complete the APS/MAR/Questionnaire?

Your attending doctor shall complete this report in the standard form or in a free text format. You are advised to state the name of the attending doctor that you would like him/her to complete the report and the date of visit or admission on the form or in your request letter.

What should I do, if I have more than one condition treated at SDMC SJ?

You need to request for multiple reports to be completed by the respective doctors.

Do I need to give my consent for the report to be released to the insurer?

Yes, you need to give your consent for the release of information.

Can the insurance agent undertake to request and collect the report on my behalf?

Yes, you must authorize the agent in writing to undertake the above tasks.

EPF Report (for withdrawal of EPF savings)

How to apply for this report?

You need to obtain the necessary form(s) from EPF office and submit it to Health Records Management, SDMC SJ.

Can other family members (wife, children, siblings and etc) request the EPF report on my behalf?

Yes, but you need to authorize them in writing to make the request.

SOCSO

You are advised to liaise with SOCSO office pertaining to the type of withdrawal and the necessary form(s) for the application. Alternatively you may request a free text report from SDMC SJ for this purpose.

Others

Is there any free document/report that I can obtain from the hospital?

Yes. You can request a copy of the Discharge Summary and investigation results/ report free of charge upon discharge.

Submission and collection of report

Where and how do I submit the request?

You can forward your request to;

Health Records Management (HRM)

2nd Floor, Outpatient Centre

Sime Darby Medical Centre Subang Jaya Sdn Bhd

No. 1 Jalan SS12/1A, 47500 Subang Jaya

Selangor, Malaysia

Either by

• hand deliver to the HRM service counter at SDMC SJ during office hours
• mail to the above address
• fax to 603-56391892
• e-mail to medicalreportsj@simedarby.com

Is the report chargeable?

Yes, please refer to the fee schedule on next page.

How long does it take to complete the report?

The turnaround time is approximately 2 to 3 weeks.

How would I be notified when the report is ready for collection?

You will be notified via phone/SMS. Kindly provide your phone number to our staff.

How do I collect the report?

You can collect the report in person or request for the report to be posted (by normal mail) to you at the address provided.

Can I ask someone to collect the report on my behalf?

Yes, but please provide the person with an authorization letter.

Can SDMC SJ post my report to insurance company/ SOCSO/ EPF office?

No. We will only release the report to the requestor for reason of confidentiality and to avoid dispute on proof of delivery.