Application

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How to Apply

Time of application：N/A

Application procedures and documents required

It is required to submit a photocopy of the relevant supporting documents and produce the original for verification

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. Original ID of the authorized person and submit a photocopy.

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Location and Service Hours for Appointment-Making

1. 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)        (Patients that used emergency services during non-service hours, can apply at the Emergency Registration Office on the same day )

2.  Registration Counter of the health center  where the patient belongs                                                                             (Please check contact list of health centers)

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Fee

1. Imaging examination
   1. Each copy:  mop 180
   2. Each digitized copy: mop 100
2. Heath record
   1. A4 black and white
      1. 1 to 10 pages (each page, one side): mop 10
      2. more than 10 pages (each additional page, one side): mop 3
   2. A3 black and white
      1. 1 to 10 pages (each page, one side): mop 15
      2. more than 10 pages (each additional page, one side): mop 5
   3. A4 color
      1. 1 to 10 pages (each page, one side): mop 20
      2. more than 10 pages (each additional page, one side): mop 8
   4. A3 color
      1. 1 to 10 pages (each page, one side): mop 25
      2. more than 10 pages (each additional page, one side): mop 10

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Processing Time

Copy of blood test report:  one working day

Copy of other examination reports and images: ten days

Pick up notification by phone or SMS

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Remarks/Notes for Application

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

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