Get Sg Sengkang General Hospital Application & Consent For Release Of Medical Information (form A) 2020-2025

This guide provides a detailed, step-by-step approach to filling out the SG Sengkang General Hospital Application & Consent For Release Of Medical Information (Form A) online. It aims to assist users in accurately completing the form to ensure a smooth application process.

Follow the steps to fill out the form online effectively.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin filling in the patient’s particulars, including their name, NRIC or HRN number, address, postal code, date of hospital attendance, contact number, and clinical department. Ensure all fields are completed accurately.
3. In the declaration section, authorize the release of medical information by filling in your name, NRIC number, and specifying if the request is for yourself or someone else. If it's for another person, please indicate your relationship to the patient.
4. Provide the recipient’s details, including their name, mailing address, email address, and contact number. This information is essential for the delivery of the medical reports.
5. Select the type of medical report needed from the list provided and tick the corresponding box. Be sure to note the associated fees, which include GST.
6. Indicate the purpose of the request by checking the appropriate box. This provides context for the release of the information.
7. Read and acknowledge the notes on application for the release of medical information, ensuring you understand the terms before signing the consent section.
8. Sign and date the consent form as both the patient and the applicant if applicable. It's important for the signatures to match the names provided in the earlier sections.
9. Once all fields are filled out correctly, you can save the changes to the form. Options to download, print, or share the completed form may be available depending on your device.

Complete your document online to facilitate the release of your medical information smoothly.