Various Diagnostic Report Application
Various Diagnostic Report Application

Certificates of Diagnosis Types, Fees, Procedure

Type

Fees (NTD)

Procedure 

Note

 

Original

Copy

 

Certificate of Diagnosis (Chinese)

200

100

【For ER patient and outpatient】

1. First time applicants must register with his/her original outpatient clinic doctor/ER doctor, and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

2. Second time applicants ask for a copy, you may proceed to the cashier to pay and receive the documents with official hospital stamp. 

 

【For inpatient】

Please submit your request with one of our nurses at your nursing station and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

Please see the required identification documents (1) as below. 
Please provide your English name and passport number as it appears on your ARC or passport. 

Certificate of Diagnosis (English)

200

 NA 
  

Injury Certificate (labor, farmer)

150

NA 

 

Disabled Certificate

(labor, farmer)

500

NA 

 

Injury Certificate

2000

600 

Military Exam Certificate

600

250 

Mainland Chinese Visitor Certificate

200

50 

Foreign Nursing Aid Certificate

1000

70 

Major Illness/Injury Certificate

200

100

 

Injury in domestic violence certificate

300

100

 

Birth Certificate(Chinese)

Free for 2 copies

100

【Applying as an inpatient】

Please submit your request with one of our nurses at delivery room, and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

【Applying after discharge】

Proceed to the cashier to pay and our staff will check your ID. Then you will receive the documents with the official hospital stamp.

Please see the required identification documents (2) as below.

 

Birth Certificate(English)

200

 NA

【Applying as an inpatient】

Please submit your request with one of our nurses at delivery room, and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

【Applying after discharge】

Applicants must register with her (use the mother's ID) original outpatient clinic doctor and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

Please see the required identification documents (3) as below.

 

Death Certificate

(Chinese)

Free for 3 copies

100

【Applying within 24 hours after discharge】

Please submit your request with one of our nurses at your nursing station, and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

【Applying 24 hours after discharge】

1. Applicants must register with his/her (use the patient's ID) original outpatient clinic doctor, and then the doctor will fill out the form. Then you may proceed to the cashier to pay and receive the documents with the official hospital stamp.

Please see the required identification documents (1) as below. 

Death Certificate

(English)

200

 NA

As same as above

Please see the required identification documents (1) as below. 

Apply after discharge( over24 hours), Applicants must register with his/her(use the patient's ID)  original outpatient clinic doctor to issue a certificate

3. Please offer the English name as same as the ARC card or passport and passport number.

 

Required identification documents:

1. Applying for a Certificate of Diagnosis

Documents for:

Identification Requirements

Service time/get the hospital stamp’s counter

Patient

(1).    Identification Card / NHI card with photo

(2).    Foreigner : ARC card /passport

XianfShang Branch

Registration counter on 1st floor, A building.

  Monday to Friday 08:00~21:30

  Saturday 08:00~12:00

 Other time /ER Registration counter on B1 , A building.

Dajia Branch

 Monday to Friday 08:00~17:30/Inpatient Admission Center’s counter (No.12~13)

Monday to Friday 17:30~21:30/Registration counter(No.6~10)

 Saturday08:00~12:00/ Inpatient Admission Center’s counter (No.12~13)

Agent

 

(1).   Agent's Identification Card and Patient’s Identification Card

(2).   Authorization form

Guardian

 

Guardian

(1).    Guardian's identification Card

(2). Documents identifying relationship to the patient and proof of guardianship (Household Certificate/Original of Court Ruling)

Deceased

(1).    Successor's identification card

(2).    Documents identifying relationship to the patient and the successor (household Certificate/ identification card).

(3).Household Registration Cancellation Transcript of the deceased / Death Certificate

2. Birth Certificate (Chinese)

Documents for:

Identification Requirements

Service time/get the hospital stamp’s counter

Newborn's parents

1. The original ID card of the newborn's father and mother

2. Foreigner : ARC card /passport

XianfShang Branch

Registration counter on 1st floor, A building.

  Monday to Friday 08:00~21:30

  Saturday 08:00~12:00

Shalu Branch

Monday to Friday 08:00~17:30/Registration counter
Saturday 08:00~13:00/ Registration counter

Dajia Branch

 Monday to Friday 08:00~17:30/Inpatient Admission Center’s counter (No.12~13)

 Saturday08:00~12:00/ Inpatient Admission Center’s counter (No.12~13)

Agent

 

1. The original ID card of the newborn's father and mother

2. Agent's identification card

3. Authorization form

3. Birth Certificate (English)

Documents for:

Identification Requirements

Service time/get the hospital stamp’s counter

Newborn's parents 

1. Newborn identification Card/ Household Certificate and passport

2. The original ID card of the newborn's father and mother

3. The original passport the newborn's father and mother/the original household Registration Transcript(English)

4. Foreigner : ARC card /passport

XianfShang Branch

Registration counter on 1st floor, A building.

  Monday to Friday 08:00~21:30

  Saturday 08:00~12:00

Shalu Branch

Monday to Friday 08:00~17:30/Registration counter
Saturday 08:00~13:00/ Registration counter

Dajia Branch

 Monday to Friday 08:00~17:30/Inpatient Admission Center’s counter (No.12~13)

 Saturday08:00~12:00/ Inpatient Admission Center’s counter (No.12~13)

Note: Patients who have reached the age of 20 and have not visited the hospital for 7 consecutive years, please prepare a Chinese Birth Certificate (You can apply for a Chinese Birth Certificate at the household registration office where you originally applied for the household registration)

Patient (over 20 years old)

1.     Identification Card/ Household Certificate

2.     Passport

3.     The original passport the newborn's father and mother/the original household Registration Transcript(English)

4.     Foreigner : ARC card /passport

Agent

 

1. All the Newborn's parents or Patient’s documents as below

2. Agent's Identification card

3. Authorization form

 

 


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