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Application procedures & fees

The Process On The Application Of The Medical Record Copy

● Applicant：

    1. Application by the Patient Himself/Herself: Original of the applicant's ID card, and NHI (National Health Insurance) card bearing a recognizable photo of the applicant (foreign nationals should provide the original passport or Alien Resident Certificate/ARC).
    2. Authorized Persons (submission of Authorization Letter )
    3. Non-Patients or Non-Authorized Persons (submission of Both ID Cards and Authorization Letter ).

● Application Procedures：

    1. Applicant should go to Admission/Discharge Center at G/F, North Building for the medical record copy application.
    2. Applicant should be patient own self and should submit ID Card. After signing the “Medical record copy application form” the patient should pay the application fee from the cashier.
    3. Non-patients or non-authorized persons should submit patient authorization letter.
    4. When patients are single and youth, should also submit official authorization Letter.

● Application Time：

    1. Monday to Friday : 8:00AM to 17:00PM.
    2. Saturday : 8:00 AM to 12:00 Noon.
    3. General medical record copy could be obtained within the same day, whole set of the medical record copy could be obtained within two working days.

● Application Fee：

    1. Copies within 10 pcs : application fee NT$ 200.
    2. Copies more than 10 pcs : NT$ 5 will be charged on each additional copy.

Document for download


● Application through the Internet：

— Application Process —
  1. Complete Application Form ，Sent e-mail to the Medical Record office address-med_record@mail.femh.org.tw
  2. Responsible person will reply directly → prepare complete documents for collection from the hospital
  3. Application by the Patient Himself/Herself: Original of the applicant's ID card, and NHI (National Health Insurance) card bearing a recognizable photo of the applicant (foreign nationals should provide the original passport or Alien Resident Certificate/ARC).
  4. Authorized Persons (submission Authorized Letter)
  5. Non-Patients or Non- Authorized Persons (submission both ID cards and Authorization Letter)

Department of Medical Imaging — Digital Image Copying Instructions

Download “Digital Image Copy Authorization Letter” (PDF, opens in a new window)

 Service Location

X-ray Registration Desk, Department of Medical Imaging (1st & 2nd Floor, South Building).

 Service Hours

  • Monday – Friday: 08:00 AM – 12:00 PM & 01:00 PM – 05:00 PM (Requests submitted after 05:00 PM will be processed for pickup the next working day).
  • Saturday: 08:00 AM – 12:00 PM (Requests submitted after 12:00 PM will be processed for pickup the following Monday).

 Required Documents

To protect patient rights and privacy, if applying via proxy, an authorization letter and valid legal photo IDs are required. (Please bring your own photocopies.)

Note: If you also require medical record copies, please go to the Admission & Discharge Center (1st Floor, North Building) first.

1. Patient Applying in Person

  • Original Photo ID (National ID Card, Passport, or ARC) of the patient.

2. Proxy / Representative

  • Original Photo ID of the patient.
  • Original Photo ID of the proxy.
  • Authorization letter signed by the patient.

3. Minors (Applied by Legal Guardian)

  • Original Photo ID of the legal guardian.
  • Proof of relationship (Household Registration or patient's original Photo ID).

4. Minors (Applied by Proxy)

  • Original Photo ID of the legal guardian.
  • Proof of relationship between legal guardian and minor (Household Registration or patient's original Photo ID).
  • Authorization letter signed by the legal guardian.
  • Original Photo ID of the proxy.

5. Deceased Patient

  • Original Photo ID of the legal heir.
  • Proof of relationship with the deceased.
  • Cancellation of Household Registration or Death Certificate.
  • If applied by proxy: Include all the above documents, an authorization letter, and the proxy's original Photo ID for verification. Copies will be retained by the hospital.

 Application Procedure

  1. Fill out Application Form.
  2. Document Verification.
  3. Select Images to Copy.
  4. Payment.
  5. Collect Disc with Receipt.

 Fee Structure

Digital image copying fee structure
Category Examination Items Fee Rules
General Category
(Unlimited studies) 		General X-ray,Special Radiography, Ultrasound, Endoscopy NT$ 200 / disc
Special Category
(Charged by study count) 		CT, MRI, Angiography, Nuclear Medicine
  • 1 Study: NT$ 200 / disc
  • 2 Studies (Special + General): NT$ 400 / disc
  • 3+ Studies: NT$ 500 / disc
Other Bone Mineral Density (BMD) NT$ 100 (Paper report)

 Processing & Pickup Time

  • Processing time takes approximately 30–40 minutes depending on file size. Requests with large image file volumes may require longer burning time.
  • If you cannot pick up in person, domestic postal delivery is available (postage fees paid by applicant).

 Additional Information

  • Online applications are currently unavailable due to on-site ID verification requirements.
  • Multiple examinations can be copied onto a single disc if storage capacity permits, but fees vary depending on the examination category.
  • For Cardiac Catheterization, Dental, and Ophthalmology image copies, please apply directly at the respective examination department.
  • Inquiry Phone: +886-2-8966-7000 Ext. 2218