Request of Medical Record and Other Patients' Information

Type of Data	Charges (HKD)
Medical Record Copy (Inpatient / SOC clinical records & test reports)	$180 Administration Charge + $5/page
Medical Report/Attending Physician Statement	Per Resident Doctor/FTE: $1,200 Per Sessional Doctor: By Quotation
Insurance Claim Form	Per Resident Doctor/FTE: ．Free of charge for the first two applications of the same case ．$420 for each subsequent application Per Sessional Doctor: By Quotation
Certificate (e.g. Birth Date & Time Confirmation, Attendance Record, Immunization Record Immunization card will not be re-issued)	$380
X-ray film/CD (including relevant Test Report Copy) e.g. MRI, CT	Free of charge for the first set of film(s) +/- CD per test (should be collected on examination day/discharge day) $320 for each additional film $180 for each additional CD* $500 for each additional USB *One CD may contain several images.