| 品項名稱 |
規格/數量 |
收費金額 |
備註 |
| 甲種診斷書 |
份 |
$1000 |
|
| 乙種診斷書 |
份 |
$200 |
|
| 就醫證明 |
份 |
$50 |
|
| 全本病歷影印 |
份 |
$200 |
200元+5元/張*張數(與正本相符) |
| 病歷摘要 |
份 |
$200 |
醫師同意後由病歷室列印 |
| 死亡證明 |
份 |
$100 |
|
- 各類證明文件申請程序
- 掛號、批價：先告知掛號櫃檯要申請診斷書或影印病歷。
- 門診：醫師診察時向醫師說明申請用途(如需英文診斷書請事前告知醫師)。
- 掛號、批價：至批價櫃檯批價繳費領取。
- 依照全民健康保險法第39條規定，證明文件不在健保給付範圍之內，須自費。
- 注意事項
- 辦理時間：
週一至週五 08：00~12:00 14:30~18:00 18:30~21：00
週六 08：00~11：50
- 限本人或附關係證明之直系親屬辦理申請順序為配偶、父母、成年子女、成年兄弟姐妹、祖父母
- 有直系親屬之關係人須填寫具委託書並附身分證正反面影本 精神科相關病歷只限本人及法定代理人方可申請
- 公民營保險公司投保或理賠病歷摘要一律以公文來函辦理，每件1000元，須4-7工作天
- 公民營保險公司病歷摘格式查詢病歷資料同意書須正本並附身分證正反面影本
|
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