Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in the digital format for editing.
2. Begin by filling in the patient’s particulars. Provide the patient's full name, NRIC or Health Record Number, the attending doctor’s name, and the contact number.
3. In the authorisation section, enter your full name along with your NRIC number. Specify whether you are requesting the information for yourself or for an authorised representative, providing their details including name, contact number, and relationship.
4. Choose your preferred mode of delivery for the medical information. Select between 'Courier' or 'Email' and fill in all required contact details based on your choice.
5. Select the type of request by ticking the appropriate options from the list provided. Ensure you also review the associated fees for each type of report.
6. Specify the date of admission or visit, along with the relevant department if applicable.
7. Indicate the purpose of the request by selecting from the given options and providing any additional details required.
8. Sign and date the form to affirm that all information provided is accurate and that you understand the implications of the release of information.
9. If you are the applicant, ensure you also sign the form and provide your relationship to the patient.
10. Once all sections have been filled out, finalize your document by saving changes, and choose whether to download, print, or share the form.

Complete your SG General Hospital HIMS-REP online today to ensure timely access to your medical information.