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Authorization for Disclosure and Copy of Medical Records
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Consent form for Disclosure and Copy of Medical Records
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Procedure

  1. Visiting Hospital
    • Visit "Medical Report Copy" counter in 1st floor of Respiratory Center
  2. Check the Identification
    • Refer to separate information below
  3. Issue the Medical Report
    • Receive the medical copy after paying for it.

Mandatory documents when issuing a copy of medical records/CD

You need to prepare the following documents below according to Korean Medical Law, Article No.21, Clause No. 3 and Enforcement Rule, Article No.13, Clause No. 3. (If you don’t bring documents below, medical records cannot be issued.)

1) When the patient can sign an agreement

① General (Over 17)
Required documents when issuing copies of general medical records
Applicant Range of applicant Necessary documents Remark
Patient Patient 1. Patient’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
Relatives Lineal ascendants (parents, grandparents), lineal descendants (children, grandchildren), spouse, spouse’s lineal ascendants (parents-in-law) 1. Applicant’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
2. Verifiable documents of kinship Family relation certificate, resident register, etc.
3. Consent form Patient’s hand-written signature is required.
Representative Sibling (*If there are no relatives, refer to the information below.), uncle, aunt, son-in-law, friend of daughter-in-law, acquaintance, insurance company, designated non-relatives, etc. 1. Patient’s ID
2. Applicant’s ID		 Resident registration card, driver’s license, passport, or other ID issued by public institutions
3. Consent form Patient’s hand-written signature is required.
4. Power of attorney (P.O.A) Patient’s hand-written signature is required.
Subagent Only when the patient himself/herself agrees to appoint a subagent, the relative or representative may appoint a subagent to issue a copy. 1. Patient’s ID
2. Relative or agent’s ID
3. Applicant’s ID		 Resident registration card, driver’s license, passport, or other ID issued by public institutions
4. Consent form Patient’s hand-written signature and phrase of ‘I hereby allow appointing a subagent.’ is required.
5. Power of attorney (P.O.A) Patient’s hand-written signature and phrase of ‘I hereby allow appointing a subagent.’ is required.
6. Verifiable documents of kinship (*Only when the subagent is appointed by relatives) Family relation certificate, resident register, etc.

* If the applicant is a sibling of the patient, he/she must submit an appropriate document corresponding to the relative and an Affirmation of non-existence of relatives, only when there are no relatives of the patient.

② Minors (under 17)
Required documents when issuing a copy of a minor's medical record
Age Applicant Range of applicant Necessary documents Remarks
Under 14 Patient Patient (May issue the copy by himself/herself if he/she has the ability to speak.) 1. Patient’s ID Student ID card, passport, family relation certificate, resident register
Relative Lineal ascendants (parents, grandparents) 1. Applicant’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
2. Verifiable documents of kinship Family relation certificate, resident register, etc.
Representative Sibling (*If there are no relatives, refer to the information below.), uncle, aunt, son-in-law, friend of daughter-in-law, acquaintance, insurance company, etc. 1. Relative’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
2. Applicant’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
3. Verifiable documents of kinship Family relation certificate, resident register, etc.
4. Consent form Relative’s hand-written signature is required.
5. Power of attorney (P.O.A) Relative’s hand-written signature is required.
Age 14-17 Patient Patient 1. Patient’s ID Student ID card, passport, family relation certificate, resident register
Relative Lineal ascendants (parents, grandparents) 1. Applicant’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
2. Verifiable documents of kinship Family relation certificate, resident register, etc.
3. Consent form Patient’s hand-written signature is required.
Representative Sibling (*If there are no relatives, refer to the information below.), uncle, aunt, son-in-law, friend of daughter-in-law, acquaintance, insurance company, etc. 1. Patient’s ID Student ID card, passport, family relation certificate, resident register
2. Applicant’s ID Resident registration card, driver’s license, passport, or other ID issued by public institutions
3. Consent form Patient’s hand-written signature is required.
4. Power of attorney (P.O.A) Patient’s hand-written signature is required.

*If the applicant is a sibling of the patient, he/she must submit an appropriate document corresponding to the relative and an Affirmation of non-existence of relatives, only when there are no relatives of the patient.

2) When the patient’s agreement cannot be obtained

Patient is expired, unconscious, missing, person devoid of mental capacity or has severe disease.

Patient is expired, unconscious, missing, person devoid of mental capacity or has severe disease.
Patient’s status Applicants Range of applicant Necessary documents Remarks
Expired, unconscious, has severe disease, missing, devoid of men Relative Lineal ascendants (parents, grandparents), lineal descendants (children, grandchildren), spouse, spouse’s lineal ascendants (parents-in-law), sibling (*Only when there are no relatives) 1. Applicant’s ID Resident registration card, driver’s license, passport, or other ID issued by public institution
2.Verifiable documents of kinship Family relation certificate, resident registration card, etc
3. Document proving that patient’s agreement cannot be obtained
  • - Death certificate
  • - Certificate proving unconsciousness
  • - Certificate proving patient can’t sign due to severe disease/injury
  • - Certificate proving missing
  • - Certificate proving devoid of mental capacity
Relative’s representative or attorney-in-fact Representative or attorney-in-fact of relatives (lineal ascendants/descendants, spouse, spouse’s lineal ascendants/descendants, sibling when there are no relatives) 1. Relative’s ID
2. Applicant’s ID		 Resident registration card, driver’s license, passport, or other ID issued by public institution
3. Document proving that patient’s agreement cannot be obtained
  • - Death certificate
  • - Certificate proving unconsciousness
  • - Certificate proving patient can’t sign due to severe disease/injury
  • - Certificate proving missing
  • - Certificate proving devoid of mental capacity
4. Verifiable documents of kinship Family relation certificate, resident registration card, etc
5. Power of attorney (P.O.A) Relative’s hand-written signature is required. (*Legal representative of relatives: possible with certification of legal representative)

* If the applicant is a sibling of the patient, he/she must submit an appropriate document corresponding to the relative and an Affirmation of non-existence of relatives, only when there are no relatives of the patient.

* Only relatives can apply (In particular, non-relatives such as sibling, daughter-in-law, son-in-law, uncle, aunt, insurance company, etc. are not allowed to apply.)

How To Receive Copies

Receiving copies

  • You should receive the copies in medical report copy counter, on the 1st floor of Respiratory Center

Call

  • +82-53-620-4560(Weekdays)
  • Closed on weekends and public holidays