PDPA 表格
Dear Patient/Requestor,
At Kempas Medical Centre (KMC), we endeavor to relentlessly improve on the service we give to our patients whilst operating within the adhered protocol which falls under the Personal Data Protection Act 2010 (PDPA). In amplifying the security of our patient’s privacy data, we have recently made amendment to our standard operating procedures and requirements. We are pleased to inform you of the following changes:
A. Request for Patient’s Medical Information
1. “Application Form for Release of Medical Information” will be given/sent upon patient’s request for his/her medical information.
2. If patient is requesting the document, the following documents must be submitted in order to complete the disclosure process:
3. If patient’s representative/third party is requesting the document, the following documents must be submitted in order to complete the disclosure process:
4. “Acknowledgement for Release of Medical Information” which requires patient/patient’s representative’s signature will be given/sent to confirm the receival of document.
B. Request for Personal Data Correction
1. “Request Form for Personal Data Correction” and “Notification of Corrected
Personal Data” will be given/sent upon patient’s request to make alteration to his/her
personal information.
2. If patient is requesting to make alteration, the following documents must be submitted in order to complete the alteration process:
3. If patient’s representative/third party is requesting to make alteration, the following documents must be submitted in order to complete the alteration process:
Please note:
- KMC is able to provide an example of “Letter of Authorization”.
- Should the above-mentioned documents (in bold) be given in soft copy, patient/patient’s representative is encouraged to submit back as soon as possible.
- Submission can be either through hard or soft copy (email: 该邮件地址已受到反垃圾邮件插件保护。要显示它需要在浏览器中启用 JavaScript。).
- Failure to comply with the above-mentioned procedures may lead to unfulfillment of
the original request.
Patient’s medical record is considered to be extremely sensitive and confidential. We are responsible in preventing access to unauthorized individuals. In view of this, the release of patient’s information should be carefully screened and given out only in response to proper inquiry. Should you have any inquiries feel free to contact us at +607 2368 999.
At Kempas Medical Centre (KMC), we endeavor to relentlessly improve on the service we give to our patients whilst operating within the adhered protocol which falls under the Personal Data Protection Act 2010 (PDPA). In amplifying the security of our patient’s privacy data, we have recently made amendment to our standard operating procedures and requirements. We are pleased to inform you of the following changes:
A. Request for Patient’s Medical Information
1. “Application Form for Release of Medical Information” will be given/sent upon patient’s request for his/her medical information.
2. If patient is requesting the document, the following documents must be submitted in order to complete the disclosure process:
- Copy of Patient’s IC/Passport
- Payment Invoice
3. If patient’s representative/third party is requesting the document, the following documents must be submitted in order to complete the disclosure process:
- Copy of Patient’s IC/Passport
- Copy of Representative’s IC/Passport
- Letter of Authorization
- Payment Invoice
4. “Acknowledgement for Release of Medical Information” which requires patient/patient’s representative’s signature will be given/sent to confirm the receival of document.
B. Request for Personal Data Correction
1. “Request Form for Personal Data Correction” and “Notification of Corrected
Personal Data” will be given/sent upon patient’s request to make alteration to his/her
personal information.
2. If patient is requesting to make alteration, the following documents must be submitted in order to complete the alteration process:
- Copy of Patient’s IC/Passport
3. If patient’s representative/third party is requesting to make alteration, the following documents must be submitted in order to complete the alteration process:
- Copy of Patient’s IC/Passport
- Copy of Representative’s IC/Passport
- Letter of Authorization
Please note:
- KMC is able to provide an example of “Letter of Authorization”.
- Should the above-mentioned documents (in bold) be given in soft copy, patient/patient’s representative is encouraged to submit back as soon as possible.
- Submission can be either through hard or soft copy (email: 该邮件地址已受到反垃圾邮件插件保护。要显示它需要在浏览器中启用 JavaScript。).
- Failure to comply with the above-mentioned procedures may lead to unfulfillment of
the original request.
Patient’s medical record is considered to be extremely sensitive and confidential. We are responsible in preventing access to unauthorized individuals. In view of this, the release of patient’s information should be carefully screened and given out only in response to proper inquiry. Should you have any inquiries feel free to contact us at +607 2368 999.
