- 01Military service: Submit a Certificate of Certificate of Military Service Status; for incarceration: Certificate of Incarceration; for overseas stay: Certificate of Entry and Exit.
- 02Consent Form for Issuance (Viewing) of Medical Records [Form No. 9-2]
- 03Power of Attorney for Viewing and Issuance of Medical Records [Form No. 9-3]
If submitting the original documents is difficult, faxed or scanned copies with handwritten signatures are acceptable.
You must present 1) + 2) + 3) + Representative’s ID + Proof of Family Relationship to receive the copies.
- Outpatient Medical Expense Statement: Certificate Issuance Counter, 1F, Main Building
- Inpatient Medical Expense Statement: Discharge Counter, 2F, Main Building




