Get Laporan Perubatan

This guide aims to assist users in completing the Laporan Perubatan form efficiently and accurately. It provides detailed instructions on each section of the form, ensuring a seamless online submission process.

Follow the steps to complete the Laporan Perubatan online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in the 'Maklumat Pemohon' section with the applicant's name, identity card or passport number, relationship to the patient, address, postal code, and contact numbers (home/office and mobile).
3. Proceed to the 'Maklumat Pesakit' section. Here, provide the patient's name, identity card number (new/old), gender, passport number, age, clinic/ward, and registration number.
4. Fill in the treatment dates by providing the start date of treatment at the specialist clinic, hospital admission date, discharge date, or date of death, if applicable.
5. In the 'Laporan yang Dipohon' section, indicate the type of medical report required by marking the appropriate box. Options include: an ordinary medical report by a medical officer, an ordinary report by a specialist, or a detailed report by a specialist.
6. If applicable, indicate if the report is required for insurance purposes, and check if the application is for Workers' Compensation (PERKESO).
7. In the 'Keizinan Daripada Pesakit' section, the patient or their representative must provide consent for the hospital to release the medical report and sign the consent.
8. Ensure that all required signatures are obtained and dates are filled in where necessary.
9. Finally, review the completed form for accuracy. You can save your changes, download, print, or share the completed Laporan Perubatan form.

Encourage others to complete their documents online for a quicker and more efficient process.