- 01Military service certificate (or proof of service) if in the military, certificate of confinement if incarcerated, or certificate of entry/exit if abroad
- 02Consent Form for Issuance (or Access) of Medical Record Copies (attached Form No. 9-2)
- 03Power of Attorney for Access and Issuance of Medical Records (attached Form No. 9-3)
If submitting the original document is difficult, you may send the document with a handwritten signature by fax or as a scanned file.
Medical record copies can only be issued if you bring items 1, 2, and 3, as well as the representative’s ID and documents verifying family relationship.
- Outpatient Billing Statement: 1F Registration and Payment Desk
- Inpatient Billing Statement: 1F Admission and Discharge Desk



