申 請 流 程
診斷證明:
《住院中》請於出院前儘早告知醫師或護理人員，由護理人員告知申報人員及所需的份數，再至一樓櫃檯繳費領取。
【費用：一份100元，第二份以上每份50元】
《出院後》請掛門診，請醫生開立後，至櫃檯繳費領取。
【費用：一份100元，第二份以上每份50元】
病歷摘要、影印病歷:
請拿本人身分證或駕照及印章，至櫃檯申請。若非本人請拿申請人及代理人的身分證及印章，至櫃檯申請。
【費用：病歷複製基本費100元，影印資料每張5元】
各種檢查報告或Ｘ光片複製:
檢驗報告請向護理站申請辦理。
【費用：病歷複製基本費100元，影印資料每張5元】
X 光碟片請向護理站申請辦理。
【費用：每片200元】
死亡證明:
應備妥申請人及死亡者之身分證正本交至護理站辦理，並告知所需的份數，再至櫃檯繳費領取。
【費用：第一份100元，第二份以上每份50元】。
＊應由病人本人或其委託人提出申請。委託人拿病人身分證正本、印章及代理人身分證正本
及印章來院提出申請。
＊請勿要求醫師開具非事實之診斷證明。
＊ 若病人明示反對委由他人提出申請，並紀錄於病歷上時，則除病人本人外，其餘均不受
理申請。
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