Patient (Self)
Valid ID
(resident registration card, passport, driver's license, etc.)
Proxy
Spouse, Lineal Ascendants/Descendants, or Spouse's Lineal Ascendants
- ID of the person requesting the documents - Certificate of Family Relations - Patient consent form (must be handwritten and signed)
Proxy Designated by the Patient (e.g., insurance company)
- ID (of both the patient and the proxy) - Patient's handwritten consent form (Attached Form No. 9-2 of the Enforcement Rules of the Medical Service Act) - Patient's handwritten power of attorney (Attached Form No. 9-3 of the Enforcement Rules of the Medical Service Act)