Medical Record Privacy Conditions
You must agree to the following conditions to request the Medical Records. Click on one of the four topics below for more information:
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Medical records are considered highly confidential because of the very private,
personal information they contain.
This is why you can't request a copy of your neighbour’s latest lab report. However,
you generally have the right to access your own
medical information and can control who else is able to access it. With some exceptions,
health care providers will release a copy to you and your authorize representative.
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To receive copies of a patient’s medical record, the patient must first sign a release
of information letter to the hospital, and also attach a copy of the patient's passport
as proof of identity.
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You have the right to request of your dependents (e.g. children) if they have not
yet reached the age of 21. You can do this by providing the hospital with a copy
of the guardian's passport as well as the authorization letter, and submitting it
with a copy of the child's birth certificate. After the age of 21, a person must
sign for their own records.
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Medical certificate (please specify visit and purpose)
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Insurance or other medical form (please specify visit and doctor name) also scan
us the blank form need to fill-in.
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Copy of medical record (please specify visit and purpose)
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Note: We have two options to provide as paper and CD-ROM
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Generally, only the patient can authorize the release of their own medical records.
However, there are some exceptions to the rule, and generally the following can
sign a release:
- Parent of a minor dependent under 18 years old
- Legal guardian: Must have a copy of the patient’s passport, including a copy of
the birth certificate.
- Agent/Representative (someone you select to act on your behalf): Must have a copy
of the patient’s passport, including patient's authorization letter.
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In the case where you are requesting the medical record by yourself, on the day
you pick up the records, we must be given a copy of your ID/passport. If you are
requesting us to send via post, fax of email, you will need to provide us with a
copy of your ID/passport, as well as the fax number or email address where the records
should be sent.
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In the case where a patient agrees to release the medical record to an agent/representative,
this agent/representative must provide us a copy of the patient's ID/passport and
authorization letter. The letter must state that you are an authorized representative,
state that Bumrungrad International should release these medical records to this
authorized representative, and have the patient’s signature, along with the date
the document was signed.
Medical Record Request Confirmation
Thank you for submitting your request for medical records. This request will be
processed shortly.
Please note that this message does not guarantee that we can send you the requested
medical records. Our team must comply with the terms stated in the previous request
form.
Given that your request passes those criteria, we will process the medical records
and send to you in your chosen manner. If you have decided to come to pick up the
medical records in person, please note there may be charges applicable.
Best regards,
Bumrungrad International