Category

Expense(s)

Document(s)

Applied Division

Required Number of Days for Process

Applied Method(s)

Memorandum

A-type Certificate of Diagnosis

NTD$300 per copy

1.Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

Receive personal medical checkup

1. Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

2. Those serving as soldiers must pay on his/her own

B-type Certificate of Diagnosis

NTD$50 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1.Receive personal medical checkup

2. Authorize a lineal relative for application

1. Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

2. Charge from 2^nd duplicate for patient, who is a family member of any soldier

Mental Impairment Certificate of Diagnosis for Labour Insurance

NTD$150 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1.Receive personal medical checkup

2. Authorize a lineal relative for application

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Pneumoconiosis Certificate of Diagnosis for Labour Insurance

NTD$100 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1.Receive personal medical checkup

2. Authorize a lineal relative for application

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Mental Impairment Certificate of Diagnosis for Farmer Health Insurance

NTD$150 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1. Receive personal medical checkup

2. Authorize a lineal relative for application

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Mental Impairment Certificate of Diagnosis for Foreign Workers Insurance

NTD$100 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1. Receive personal medical checkup

2. Authorize a lineal relative for application

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Major Injury Certificate of Diagnosis for National Health Insurance

NTD$50 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1. Receive personal medical checkup

2. Authorize a lineal relative for application

1. Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

2. Charge from 2^nd duplicate for patient, who is a family member of any soldier

Death Certificate in Chinese

NTD$20 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

3. Original Duplicate of Personal/ Solider ID

Counter for Hospitalization

Same day or Next day

Must approve the application only if expense for hospitalization is paid

 i.Free charge for solider

ii.Charge from 2^ndduplicate for patient, who is a family member of any soldier

Death Certificate in English

NTD$100 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

3. Original Duplicate of Personal/ Solider ID

Section of Medical Service

5 days

Must approve the application only if expense for hospitalization is paid

1. Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

2. Charge from 2^nd duplicate for patient, who is a family member of any soldier

Function Scale of Daily Life Activities

NTD$50 per copy

Bring Function Scale of Daily Life Activities

Outpatient Services or Hospital Ward

Same day or Next day

Receive personal medical checkup

1. Patient, who requests outpatient service, must be inspected by doctor or nurse of public hygiene and receive treatment directly

2. Must be our hospital patient, who is inspected by social worker

Certificate of Diagnosis in English

NTD$100 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

Outpatient Services or Hospital Ward

Same day or Next day

1. Receive personal medical checkup

2. Authorize a lineal relative for application

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Every kind of Certificate of Diagnosis for Military Personnel and Employees at our Hospital

Free of charge for Military Personnel

1. Original Duplicate of Personal ID

2. Personal Health Card

3. Original Duplicate of Personal/ Solider ID

Outpatient Services or Hospital Ward

2 weeks

Fill out Application form, then service counter send to division of verification through room of medical records

1. Free of charge for solider

2. Charge from 2^nd duplicate for patient, who is a family member of any soldier

3. Receive notice from service counter after being approved

Soldier’s Certificate of Diagnosis in Chinese

Free

3. Original Duplicate of Personal/ Solider ID

1. Outpatient Services or Hospital Ward

2. Troop

1. Same day or Next day

2. Require 10 business days to send official letter to division of medical service

1. The 1^stperson must bring official letter from troop and receive the treatment directly for approval

2. Approve if division of medical service receives letter from troop

1. Free of charge with official letter

2. Two free copies without official letter

Soldier’s Certificate of Diagnosis in English

NTD$100 per copy

3. Original Duplicate of Personal/ Solider ID

1. Outpatient Services or Hospital Ward

2. Troops

1. Same day or Next day

2. Require10 business days to send official letter to division of medical service

1. The 1^stperson must bring official letter from troop and receive the treatment directly for approval

2. Approve if division of medical service receives letter from troop

1. Free of charge with official letter

2. Two free copies without official letter

Soldier’s Certificate of Free Inspection Technique

Free

3. Original Duplicate of Personal/ Solider ID

Outpatient Services

Same day or Next day

The 1^st person must write down application for medical treatment directly

Birth Certificate in English

NTD$100 per copy

Fill out a form (applicant, father’s English name, and mother’s English name)

The obstetrics and gynecology department

Same day or Next day

The 1^st person or his/her authorized relative(s)

Birth Certificate in Chinese

NTD$20 per copy

Both national ID from pregnant woman and her spouse

The obstetrics and gynecology department

Same day or Next day

The 1^st person or his/her authorized relative(s)

Certificate of Hospitalization

NTD$50 per copy

1. Original Duplicate of Personal ID

2. Personal Health Card

3. Original Duplicate of Personal/ Solider ID

Counter for Hospitalization

Same day or Next day

Must approve the application only with hospital patient

1. Free charge for solider

2. Charge from 2^nd duplicate for patient, who is a family member of any soldier

Summary of Medical Records

NTD$50 per copy

Original Duplicate of Personal ID

1. Outpatient Services or Hospital Ward

2. Counter for Hospitalization

7 days

The 1^st person or his/her authorized relative(s)

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Inspection Report

NTD$20 per copy

1. Original Duplicate of Personal ID

1. Service Counter

2. Counter for Hospitalization

Same day or Next day

The 1^st person or his/her authorized relative(s)

Consignor must bring letter of attorney and original duplicate of the 1^st person & patient’s ID

Expense Detail List of Outpatient/ Emergency Services

NTD$50 per copy

1. Original Duplicate of Personal ID

Service Counter

3∣5 days

The 1^st person or his/her authorized relative(s)

Original Duplicate of Personal and Patient’s ID