1. A signed consent is needed to release your medical information.
   Please complete the Application & Consent for Release of Medical Information - Form A (PDF, 456KB).

   
   For more information, please refer to the section below on Consent & Application Procedure.

   
   

2. Copy of your NRIC / identification document (front and back).

3. Questionnaire form by your insurance company or relevant organisations, if applicable.

4. Cheque payment is required for requests by mail.
   

Please write patient’s name, NRIC/ Fin number and contact number on the back of the cheque.