Follow the steps to effectively complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Complete the ‘Patient’s Particulars’ section by entering the patient’s name, address, NRIC or HRN number, contact number, period of clinic visits or admissions, and medical specialty. Ensure that all fields are filled accurately.
3. In the ‘Consent’ section, indicate whether the consent is for the patient themselves or for a dependent. Provide the name and NRIC number of the person giving consent, and detail the recipient of the medical information.
4. Specify the preferred mode of collection for the medical report, selecting from options like personal collection, postal delivery, or collection by a representative. Remember to provide any required identification and authorization documents.
5. Tick the relevant boxes in 'Section A: Purpose of Request' to indicate why the medical information is needed, such as insurance claims or legal purposes.
6. In 'Section B: Types of Report,' choose the types of medical reports you require by marking the corresponding boxes and noting the associated fees.
7. After filling out the form, review all entries for accuracy. Once confirmed, print or save the form if needed, and ensure that the completed form is submitted with the appropriate payment and any required documents attached.
8. Submit your form electronically, or if sending by mail or fax, include a photocopy of your NRIC and any other necessary attachments.

Complete your Ktph Medical Record Office form online today to streamline your request!