SS10009A

---

How to Apply

Time of application：N/A

Application procedures and documents required

1. Application by the Data Subject in person:
   1. A duly completed application form;
   2. Identity document of the Data Subject.
2. Application by a representative as specified below:
   1. Authorized person
      1. A duly completed application form;
      2. Letter of authorization (should be made and confirmed by both parties in the presence of a public or private notary);
      3. Identity document of both parties.
   2. Father/ mother of the minor
      1. A duly completed application form;
      2. Proof of ascendant relation;
      3. Identity document of both parties.
   3. Legal heir of the deceased
      1. A duly completed application form;
      2. A death certificate;
      3. Proof of heir;
      4. Identity document of both parties.
   4. Person appointed by courts to manage the affairs of the Data Subject
      1. A duly completed application form;.
      2. Documentary proof issued by a court;
      3. Identity document of both parties.
3. Documents required for collection:
   1. Collection by the applicant
      1. Application receipt;
      2. Original ID of the applicant.
   2. Collection by an authorized person
      1. Original ID of the applicant;
      2. Produce the original ID of the authorized person and submit a photocopy.

---

Location and service hours for appointment-making

During service hours: Medical Report Reception Counter, G/F of Outpatient Building, Conde de São Januário General Hospital
Monday to Friday (except government holidays), 09:00~13:00; 14:30~17:45 (until 17:30 on Fridays)
During non-service hours: Emergency Registration Office

---

---

Fees

Description                                                                                                                      Price (MOP)

1. Photocopy of health record in A4 black and white
   1. For 1 to 10 pages, each page (one side)                                                                  10.00
   2. For more than 10 pages, each additional page (one side)                                     3.00
2. Photocopy of health record in A3 black and white
   1. For 1 to 10 pages, each page (one side)                                                                   15.00
   2. For more than 10 pages, each additional page (one side)                                      5.00
3. Photocopy of health record in A4 colour
   1. For 1 to 10 pages, each page (one side)                                                                   20.00
   2. For more than 10 pages, each additional page (one side)                                      8.00
4. Photocopy of health record in A3 colour
   1. For 1 to 10 pages, each page (one side)                                                                   25.00
   2. For more than 10 pages, each additional page (one side)                                    10.00
5. Each copy of film of imaging examination                                                                   180.00
6. Each digitized copy of imaging examination                                                                100.00

---

---

Processing Time

Copy of blood test report: 1 working day
Copy of other examination reports and images: 10 days

---

Remarks/Notes for Application

Generally, application can be submitted after follow-up consultation.

---