Kyungpook National University Chilgok Hospital

※ Explanation of Terms
ID : A government-issued photo identification such as resident (Foreign) registration card/ driver’s license/ passport/ etc.
Relatives : In accordance with Article 21, Paragraph 2, Item 1 of the Medical Act, the patient's spouse, lineal ascendant/ descendant, and spouse's lineal ascendant (hereinafter in this Article) are considered as relatives.
(Brothers, sisters, daughter-in-law, son-in-law, etc. are not “Relatives” because they are collateral blood relatives, and they can request Issuance as a patient representative.)
Relatives relationship confirmation must indicate the relationship with the patient him/herself (health Issuance card not accepted).
Documents that can verify identity (for those under the age of 17): Family relationship certificate or a copy of resident registration (Full identification number for accurate identification)

Medical Certificate

In principle, after verifying your ID card, it will directly be issued to the patient. (Article 17 of the Medical Law)
※ Cases for issuing to an agent/ representative

Issuance of other certificates for the deceased: Article 17 of the Medical Law
Unconsciousness (in case of other hospitals, documents confirming unconsciousness confirmation, etc.) : Article 17 of the Medical Law

※ Required Documents for Issuance

Medical Certificate
Applicant	Issuable Status	Documents for Issuance Request
Relatives	If the patient is deceased or unconscious	① A copy of ID card of the applicant ② Documents proving the relationship with the patient (family relationship certificate/ a copy of certification) ③ Documents confirming the patient’s condition (medical certificate with details of death or unconsciousness, etc.)
Siblings	If the patient is deceased or unconscious and the patient’s relatives are absent	① A copy of ID card of the applicant ② Documents proving the relationship with the patient (family relationship certificate/ a copy of certification) ③ Documents confirming the patient’s condition (medical certificate with details of death or unconsciousness, etc.) ④ Certificate or confirmation certifying that there are no relatives of the patient

Range of Relatives: Patient's spouse, lineal ascendant and descendant, or spouse's lineal ascendant

Medical Certificate for Those under the Age of 19
The Legal representative can be issued
- Patient ID or student ID when visiting the hospital (personal confirmation)
- Accompanied by a guardian if identity verification is not possible.
- Legal representative confirmation document(Certificate of family relationship or resident registration certificate)
- The Legal representative identification card
- Disability (Injury) certificate, post-disability certificate must be accompanied by a patient
Death Certificate
Patient's lineal ascendant and descendant are issuable
- Patient ID card
- Lineal ascendant and descendant ID card
- Family relationship certificate or resident registration certificate (including address)
Medical Records Copy of the Deceased
Patient's lineal ascendant and descendant are issuable
- Death Certificate
- Lineal ascendant and descendant ID card
- Family relationship certificate or resident registration certificate
Information of Documents Required Documents for Medical Record Copy/CD Copy /Medical Certificate and Confirmation
Medical Records Copy
What are the medical records? Documents that records related to patient's disease (including family history, surgical treatment history, etc.) and all matters performed by the hospital for treatment
- Medical records are confidential documents that contain patient information, so the applicant's identity must be verified and the original documents must be kept (Article 21 of the Medical Law, Article 13 of the Enforcement Regulations of the Medical Law).
- Operation Hours: 8:30 am-5:30 pm
- Location: on the 1st floor of Building 2
Guide map of the medical record Issuance desk
However, copies of medical records cannot be issued if the required documents are not presented. Kyungpook National University Hospital (Samdeok-dong) medical records cannot be issued at Kyungpook National University Chilgok Hospital (Hakjeong-dong).

Required Documents for Issuance Copy

Information of required documents for medical record copy/CD copy/medical certificate

Medical Certificate
Patient	Lineal ascendant and descendant	Third party	Remark
Registration Card Driver's License Welfare Card Passport Certificate of National Merit	Patient identification Representative ID Family Relations Certificate Consent	Patient identification Representative ID Document of Attorny Consent	Issued after verification of Representative ID Year-end settlement receipt Certificate of disability (By tax law)

Consent Form for Disclosure and Copy of Medical Records Attorney for Disclosure and Copy of Medical Records Confirmation for Access to Medical Records and Issuance of Copies

How to Issue
※ No need to visit the clinic if the copy of Issuance is the only purpose (outpatient)
Request for a copy of medical records
- Apply directly at the copy Issuance desk
- Copy Issuance desk (submit and check required documents)
- Receive copies after payment
Request copies through the outpatient clinic
- Reception at the outpatient clinic
- Consult with the attending physician (check the required documents and request copy)
- Copy Issuance desk (submit and check required documents)
- Receive copies after payment
Request copies through at the ward or emergency room for inpatients
- Request for a copies at the nurse's office
- Consult with the attending physician (check the required documents and request a copy)
- Copy Issuance desk (check and submit required documents)
- Receive copy after payment
Medical Image
- Reception Payment desk)
- Confirmation of the doctor (Check required documents)
- Image storage desk (1st floor of Building 2)
- Payment (Payment desk)

Required Documents for Each Applicant

Information of Documents Required Documents for Medical Record Copy/CD Copy /Medical Certificate and Confirmation

If you want to issue copies of medical records, you must prepare the following documents based on Article 21 of the Medical Law and Article 13-2 of the Enforcement Regulations. When patient consent is possible+

When patient consent is possible
Applicant		Required documents	Remark
Patient	him/her self	ID card (If you are under the age of 17, your ID card or documents that can verify your identity)	Photo ID
Relatives	Spouse Lineal ascendant Lineal descendant Lineal ascendant of the spouse	Applicant ID card Copy of patient ID Patient's written consent Family relationship certificate or documents that can be verified	Photo ID (If you are under 17 years of age, you must have an ID card or documents that can be verified) Consent form by written of patient (except for minors under the age of 14)
Agent	Designated agents other than relatives (brother, sister, daughter-in-law, son-in-law, Issuance company, etc.)	Applicant ID Copy of patient ID Patient's written consent Family relationship certificate or documents that can be verified	A written consent form by the patient (must be written by a legal guardian if under the age of 14)

When patient consent is not possible

When patient consent is not possible
Division	Required documents	Remark
Deceased patient Unconscious Missing Person devoid of mental capacity	ID card of the applicant Documents that can confirm relative relations, such as a certificate of family relations Documents confirming death Certificate of unconsciousness confirmation Documents to confirm missing Person devoid of mental capacity confirmation certificate ※ Documents proving that there are no relatives (siblings and)	Patient Relatives only ※ In the case of patients without relatives, siblings are allowed. ※ Legal representatives such as relatives or voluntary representatives can apply

If the patient is a minor

If the patient is a minor
Applicant	Required documents according to patient age
Applicant	Under 14	14 or older-under 17
Patient	Personal identification (Person with mental capacity)	Patient identification card or documents that can verify identity
Relatives (Parent, Lineal ascendant)	Relatives (Parent, Lineal ascendant) ID Documents that can confirm relative relations, such as a certificate of family relations	Patient identification card or identification document Relatives (Parent, Lineal ascendant) ID Documents that can confirm relative relations, such as a certificate of family relations Patient's written consent
Designated representatives other than relatives (brother, sister, aunt, Issuance company, etc.)	Applicant ID Copy of parent ID Documents that can confirm relative relations, such as a certificate of family relations Parent's written consent Parent's handwritten power of attorney	ID card of the applicant Copy of patient ID card or identification document Patient's written consent Patient's handwritten power of attorney

Issuance Fee Information: Basic (1-5 sheets) 1,000 won per sheet, 100 won per additional sheet is added

Consent Form for Disclosure and Copy of Medical Records Attorney for Disclosure and Copy of Medical Records Confirmation for Access to Medical Records and Issuance of Copies