Get Sg Sengkang General Hospital Application & Consent For Release Of Medical Information (form A) 2024-2025

This guide provides detailed instructions on how to complete the SG Sengkang General Hospital Application & Consent For Release Of Medical Information (Form A) online. It is designed to assist users through each section of the form in a clear and accessible manner.

Follow the steps to expertly complete the form.

1. Click the ‘Get Form’ button to access the Application & Consent For Release Of Medical Information (Form A) and open it for editing.
2. Fill in the patient’s particulars section. Provide the full name, NRIC or HRN, address, postal code, date of hospital attendance, contact number, and clinical department. Ensure accuracy to avoid processing delays.
3. In the declaration section, specify the name of the patient and NRIC number. Indicate who you are authorizing to receive the medical information by selecting either 'My Representative' or 'Myself'. If choosing a representative, clearly state the relationship.
4. Complete the recipient’s details, including their name, mailing address (if desired), email address, and contact number. This section is essential for the dispatch of the medical information requested.
5. In the details of request section, select the type of medical report you require by ticking the appropriate box. Review the fees associated with each report type to ensure you are aware of any costs involved.
6. Indicate the purpose of the request by selecting the reason from the provided options. This helps the hospital process the application more effectively.
7. Sign and date the declaration at the end of the form. Make sure both the patient and the applicant (if they are different) sign where indicated to validate the application.
8. After completing the form, save your changes, and consider downloading or printing the form for your records. Ensure all required supporting documents are prepared for submission.

Complete your application and submit it online for prompt processing.