Precautions for applying for X-ray, CD Rom of image examination copy, copy of medical record, copy of examination report, and certificate of diagnosis.
【Patient application】
【Entrusted agent application】
【Application for minor qualification】
【Deceased application】
After completing the aforementioned data, please mail to cmuh.m963@tool.caaumed.org.tw
Application for suspended use of personal data:
Application for medical record duplication:Download
Letter of authorization for applying replication of medical record:Download
For application for replicate medical record or image (x-ray copy and ultrasonic) from the radiation department, file the application to the medical staff during the “clinic hours.” The replicate of the application form will be issued. Confirm the scope and number of copies.
Or, the patient or authorized person shall proceed to the “Replicate Medical Record Application/Collection Office” of Admission Center on the first floor of Lifu Medical Building to fill out the “Medical Record Replication Application Form,” “Imaging Copy Application Form” or “Letter of Authorization” and confirm the scope and copies for application.
Monday to Friday:Morning 08:30- Afternoon 17:00 Evening 18:30-21:00 (limited to application at the clinic)
Saturday: Morning 08:30-12:00
24 hours
Monday to Friday: 08:30-17:00 a.m.
Saturday: 08:30-12:00 a.m.
For application between Lifu Medical Building, First Medical Building, Children's Medical Center, and Rehabilitation Building, please wait and collect at the “Replicate Medical Record Application/Collection Office” of Admission Center (except for imaging and x-ray copy collection).
For application between Meide Medical Building, Critical Care Center Building and Cancer Center Building, please pay at the cashier counter of that building and wait for collection (except for imaging and x-ray copy collection) Critical Care Center Building
Online application: Please pay and collect at the “Replicate Medical Record Application/Collection Office” of the Admission Center (except for imaging and x-ray copy collection.
Imaging and x-ray copy collection:
Replicate of medical record summary, medical treatment records, check (examination) report, imaing and X-ray copies take about 90 minutes in waiting
Full medical record copy takes about 3-7 working days.
Chinese medical record summary takes 14 days