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Patient Guides

Guide to Request a Medical Report

Al-Islam Specialist Hospital provides a structured process to assist patients in obtaining their medical reports efficiently.
Step 1: Contact Us to Initiate the Request

To begin, please email us at medical.record@al-islamhospital.com.my to:

  • Request the Medical Report Application Form
  • Obtain the QR Code for payment
After receiving the form, please ensure the following sections are completed:
  • Applicant Information (Name, Address, Contact Details)
  • Patient Information (Name, Date of Birth, IC/Passport Number)
  • Type of Report Requested (e.g., Insurance Claim Form, Detailed Medical Report, Discharge Summary)
  • Purpose of Report (specify if selecting “Others”)
  • Patient or Next of Kin Consent (signature required)

Note: The Witness section does not need to be filled.

Type of ReportCharges (RM)
Insurance Claim Form (Specialist)110
Insurance Claim Form (Medical Officer)65
Detailed Medical Report (Specialist)130
Detailed Medical Report (Medical Officer)85
EPF Withdrawal90 – 85
SOCSO Medical Report110 – 160
Discharge Summary / Immunization Record60
Other Reports (Specify Purpose)Based on current schedule

Note: Reports for legal purposes are subject to charges as outlined under Schedule 13, Private Healthcare Facilities and Services Act 1998 (Amendment 2013).

Email the completed form along with the following documents to medical.record@al-islamhospital.com.my:

  • Copy of Patient’s IC/Passport
  • If submitted by a representative: Authorization Letter and a copy of the representative’s IC
  • Reports will be processed within 14 working days, subject to the attending doctor’s schedule.
  • Our team will contact you should additional information or clarification be required.
Contact Information
Medical Record Department
  • No. 85, Jalan Raja Abdullah, Kampung Baru, 50300 Kuala Lumpur- Al-Islam Specialist Hospital
  • 03-2693 1007 ext. 402
  • 03-2698 6711
  • medical.record@al-islamhospital.com.my

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