Medical Report Application & Submission Procedure
Welcome to Medical Records Department !
1. Who Can Request?
We assist patient, next-of-kin, and authorized representative with medical report request to purpose such as:
– Insurance claims
– Legal documentation
– Employment purpose
– Personal use
Applicants may apply through walk in, email and online.
Kindly refer to the table below on how to contact the Medical Report Department.
| Contact No. | 06-6751188 (ext 6081/6082) |
|---|---|
| mazliza@salam.com.my or mdrecord@salam.com.my | |
| Address | No. 234–243, Jalan Lavender Heights 2, Lavender Business Square, 70450 Senawang, Seremban, Negeri Sembilan. |
| Walk In | Medical Records Counter (Ground Floor) |
| Operations Hours |
Monday-Thursday : 8.30am -1.00pm / 2.00pm - 4.30pm Friday : 8.30am – 12.30pm / 2.30pm – 4.30pm Saturday & Sunday : Closed Public Holiday : Closed |
2. What Are The Requirements To Apply For The Medical Report?
Medical Report Application via Online Form here.
Download and complete the Application Form here.
Download and complete the Authorization Letter here.
a) If you are the patient:
- Completed Consent of Application for Medical Report Form
- A copy of patient’s NRIC (front and back) – NRIC or Passport
- Related claim forms (Insurance, SOCSO, KWSP, etc)
b) If you are requesting on behalf of a patient:
- Completed Authorization Letter (must include signature of the patient as proof of consent and authorization).
- Completed Consent of Application for Medical Report Form
- A copy of patient’s NRIC or Passport (front and back)
- A copy of requestor’s NRIC or Passport (front and back)
- Related claim forms (Insurance, SOCSO, KWSP, etc)
c) If you are requesting on behalf of deceased/death patient:
- Completed Authorization Letter (signed by spouse / third party & witness).
- Completed Consent of Application for Medical Report Form
- Copy of Death Certificate.
- Copy of Marriage Certificate (if applicable)
- A copy of spouse/third party’s NRIC or Passport (front and back)
- Related claim forms (Insurance, SOCSO, KWSP, etc)
3. What Are The Types Of Medical Report Application Forms Accepted And Their Respective Charges?
Type of Form | Charges (Specialist) | Charges (Medical Officer) |
|---|---|---|
Insurance Form | RM80.00 | RM80.00 |
SOCSO / PERKESO | RM80.00 | RM80.00 |
EPF (KWSP) Report | RM80.00 | RM80.00 |
Full Report / Specialist Detail Report | RM150.00 | RM100.00 |
Medico Legal Report | RM300.00 | RM150.00 |
Immunization Record | RM50.00 | – |
Explanatory (Clarification) Report / Correction | FOC | FOC |
Medical Report by Government (Police, Military, Government Dept & etc) | FOC | FOC |
Photocopy of Medical Certificate | RM5.00 (each pages) | RM5.00 (each pages) |
Copy of Lab Result/Radiology Report/others | RM5.00 (per report) | RM5.00 (per report) |
4. Estimated Processing Time For Medical Report
The medical report will be prepared within 14 working days upon receipt of a complete application, excluding Sundays and public holidays.
Please note that some requests may experience delays in processing for the following reasons:
- Unavailability of doctors (e.g. on leave)
- Patient is currently admitted/hospitalized
- Multiple reports requested from different doctors
- Visiting specialists with limited clinic session at Salam Senawang Specialist Hospital
- Patients scheduled for future clinic appointments
- Incomplete document received
Applicants will be notified and updated by our staff via email or phone call.
5. How Can Payment Be Made?
Payment can be made through any of the following methods:
Method 1: Cash or Debit/Credit Card
Payment can be made at the Cashier Counter located on the Ground Floor.
Method 2: Online Bank Transfer
Bank: MAYBANK BERHAD
Account Name: Senawang Indah Medical Centre Sdn Bhd
Account Number: 555126107065
After completing the payment, please email the payment receipt or transaction slip to mazliza@salam.com.my for verification and processing.
6. How Will I Receive The Completed Medical Report?
Upon completion of your report, we will contact you to inform you. Depending on your preferred method of release, you may:
Preference 1: Collect report at Medical Record Department counter during normal operations hours.
Preference 2: Receive the report via email
Preference 3: Receive the report via courier (only for lawyer report)