By e-Form
Please click here to apply:
By Mail
Please download and complete the below form:
Please attach a photocopy of patient’s NRIC (front and back view) and other supporting documents e.g. insurance claim form, birth/marriage/death certificates etc.
Mail your application to:
Health Information Management Services
Medical Registry & Reports
Singapore National Eye Centre
11 Third Hospital Avenue Singapore 168751
Payment Mode:
Credit Card
PayNow (Payment notification will be sent to you)
Patients aged 21 years and above who will provide written consent for the release of medical information.
If the patient is below 21 years old, the consent of the patient’s legally appointed representative (parent/guardian) is required.
If the patient is deceased or mentally incapacitated, the patient’s next-of-kin or legally appointed representative may apply with relevant supporting documents.
Interested third parties (e.g. insurance companies) may apply with patient’s written consent.
Please refer to Notes on Application for the Release of Medical Information.pdf for more details.
Application for Patients | Supporting Documents |
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Below 21 years old |
|
Deceased |
|
Mentally Incapacitated |
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Types of Requests | Description | Fee (Includes GST) | Remarks | Service Standards |
---|---|---|---|---|
Brief Reports/ Investigation Result/ Referral letter | ||||
Duplicate copy of Day Surgery Discharge Summary | Brief information of the surgery, diagnosis and procedure | S$12.00 | Please indicate date of surgery | 1 week |
Doctor's Memo |
Provides brief information (e.g. diagnosis) with no explanation of condition.
| S$12.00 |
If you need more details to be indicated, please apply for an ordinary/ specialist medical report.
| 4 weeks |
Duplicate copy of investigation result
|
E.g. Results of blood tests, MRI scan, refraction report etc
| S$14.17 - S$25.07 |
You will be advised on the processing fees. Please do not make pre-payment
| |
Duplicate copy of
referral Letter |
Referral Letter from polyclinic or private medical centre provided by the patient | S$12.00 | | |
Completion of Forms | ||||
Completion of Pre-Surgery Insurance Approval Form | An insurance form to be completed by the doctor before the surgery | S$56.03 | Please obtain the insurance form from your insurance agent/company and indicate the date of surgery | 4 weeks |
Completion of Insurance Form | An insurance form to be completed by the doctor | S$121 | ||
Completion of Insurance Form (with prognosis) | An insurance form with section on prognosis to be completed by the doctor | S$222 | | |
Completion of Permanent Disability Form | A form for the doctor to assess the patient's disability status | S$222 | ||
Completion of Eye Assessment Form | Other miscellaneous/health assessment forms provided by the patient | S$12 - $121 | You will be advised on the processing fees. Please do not make pre-payment | |
Completion of Insurance Form (Neuro- Ophthalmology) | An insurance form to be completed by the doctor for Neuro-Ophthalmology patients | S$158.70 or S$283.45 | You will be advised on the processing fees. Please do not make pre-payment | |
Summary Report | ||||
Ordinary Medical Report | A report put up by the doctor based on patient's medical records. It is a factual record of the patient's eye condition and assessment | S$121 | 4 weeks | |
Specialist Medical Report |
A report put up by the doctor based on patient's medical records. It is a factual record of the patient's eye condition, assessment and prognosis.
| S$222 | ||
Neuro-Ophthalmology Ordinary Medical Report | A report put up by the doctor based on patient's medical records. It is a factual record of the patient's eye condition and assessment for Neuro-Ophthalmology patients. | S$158.70 - S$283.45 |
You will be advised on the processing fees. Please do not make pre-payment.
| |
Neuro-Ophthalmology Specialist Medical Report | A report put up by the doctor based on patient's medical records. It is a factual record of the patient's eye condition, assessment and prognosis for Neuro-Ophthalmology patients. | |||
Work Injury Reports | ||||
Work Injury Compensation Report (Initial/ Reassessment) | An assessment to determine work-related injuries, the degree and period of disability for Workmen's Compensation Act. Scope of the report is as per "Medical Report on Traumatic Injuries for Workmen's Compensation" form prescribed by the Ministry of Manpower (MOM). | S$121 |
Report will be sent directly to MOM / Insurance Company | 4 weeks |
Workmen's Compensation Medical Board Assessment Report | A referral from the Ministry of Manpower to assess and re-determine work-related injuries, the degree and period of disability when any of the parties (insurer, employer or injured worker) object to the results of the initial workmen's compensation assessment. Scope of the report is as per "Referral of Objection to Permanent Incapacity Under Compensation (Medical Board) Regulations 2005 – Medical Report on Traumatic Injuries for Workmen's Compensation" form prescribed by the Ministry of Manpower. | S$370 | Report will be sent directly to MOM. |
All completed medical reports will be encrypted in PDF and sent to the recipient’s email address. Alternatively, if you prefer to receive the completed report via Health Buddy, you will need to request in the application form.
Hardcopies will only be provided upon request via registered mail with charges.
Type of Delivery Services | Mailing Charges |
---|---|
Local Registered Mail | S$6.61 |
Overseas Registered Mail (Countries within South-East Asia) | S$7.10 |
Overseas Registered Mail (Rest of the World) | S$11.90 |
The regular consultation and hospitalisation fees paid do not include cost for a medical report as not every patient requires one.
A fee has to be levied for this additional service of providing medical reports to cover the hospital’s administrative costs and the doctor’s professional input. This is a standard practice across all restructured hospitals in Singapore.
There will be no refund on payment once the application had been processed.
You may contact us at:
Health Information Management Services
Medical Registry & Reports
Tel: (65) 6322 9499
Email: medicalreports@snec.com.sg
Monday to Friday: 8.30am - 5:30pm