Ajou University Hospital

Medical records·Image copies

EEG imaging or ophthalmological special imaging, medical records from the Radiation Oncology Department and Health Promotion Center - Request to department related to treatment on regular business hours during weekdays (issuance unavailable on weekends or holidays, online issuance unavailable)
If the test results have not been processed yet, same-day issuance may be unavailable.

Procedures for issuing medical records·image copies

1. If the patient has same-day outpatient treatment

Request to department related to outpatient treatment

STEP.1
Request

Request to department of treatment, apply when receiving treatment
STEP.2
Payment

Make payment to the Administration Team
STEP.3
Receipt

Copy Issue Center at Main Building 1F
※ Submit ID and required documents

2. When requesting copies only without reservation of outpatient treatment

Request at medical record·image at Copy Issue Center

STEP.1
Counseling and request

Copy Issue Center at Main Building 1F
※ Submit ID card and required documents
STEP.2
Payment

Make payment to the Administration Team
STEP.3
Receipt

Receive treatment record·image copies

3. When requesting during hospitalization

Request to ward doctor in charge or nurse 1~2 days before discharge

STEP.1
Request

Ward doctor in charge or nurse
STEP.2
Receipt

Hospitalized ward
STEP.3
Payment

Make payment to the Administration Team

4. When requesting online

Takes 1~3 days from the day of request (weekends, holidays excluded)

STEP.1
Request

Connect to copy issuance homepage and proceed with identity verification
-The patient or relatives can request
-Image CD cannot be requested online
STEP.2
Payment

Make payment after receiving issue completion text
STEP.3
Receipt

① Print from homepage
② Receive by visiting center: Copy Issue Center at Main Building 1F
(submit ID and required documents)

Required documents for issuing medical records·image copies

1. If consent can be received from the patient

Grounds : Article 21 of the Medical Service Act, Article 13-3 Paragraph 3 of the Enforcement Rules
Consent Form and Power of Attorney must include the patient's own name and written signature (identifiable by others) ※ Typed signature, sign, seal, thumbprint not allowed


Patient	Requester	Required documents
14 years or older	Patient himself/herself	ID (resident registration card, passport, driver’s license, etc.) Patients below 17 years old without issued resident registration card: ID (passport, student card, teenager card) or Family Relation Certificate or Resident Register Certificate
	Relatives Spouse Direct ancestors (parents, grandparents) Direct descendants (children, grandchildren) Direct ancestors of spouse (parents-in-law)	ID of requester Documents that can confirm the relationship (Family Relation Certificate, Resident Registration Certificate, etc. ※Health Insurance Certificate not allowed) Consent form directly signed by patient
	Delegate designated by patient (brother, sister, son-in-law, daughter-in-law, uncle, aunt, nephew, friend, acquaintances, insurance company, etc.)	ID of requester Consent form directly signed by patient Power of attorney directly signed by patient Copy of ID of patient
14 years or younger	Patient himself/herself	ID (passport, student card, teenager card) or Family Relation Certificate or Resident Register Certificate (10 years or older)
	Relatives Parents of patient Grandparents of patient Legal delegate of patient	ID of requester Documents that can confirm the relationship (Family Relation Certificate, Resident Registration Certificate, etc. ※Health Insurance Certificate not allowed)
	Delegate Delegate (aunt, uncle, acquaintances, insurance company employee) designated by parents (legal delegate)	ID of requester Consent form directly signed by legal delegate Power of attorney directly signed by legal delegate Documents proving the legal delegate (Family Relation Certificate, Resident Registration Certificate, etc. ※Health Insurance Certificate not allowed) Copy of ID of legal delegate

ID : ID including name, date of birth, and photo issued by a public organization
Documents for relationship confirmation : Family Relation Certificate issued within the past 6 months (patient-oriented or requester-oriented)

2. If consent cannot be received from the patient

According to Article 21 of the Medical Service Act and Article 13-3 Paragraph 3 of its Enforcement Rules, authority to request issuance of copies can be delegated to a third party by relatives with authority to request copy issuance if the patient's consent cannot be received.
* If the relatives (spouse of patient, direct descendant, direct ascendant of spouse) are missing, the authority for request is assigned to the brothers·sisters
(documents confirming that there are no relatives, confirmation form for browsing medical records or copy issuance).
If the relatives of the patient are designated as a delegate, additional documents such as Power of Attorney for Medical record browsing and Copy Issuance, ID of delegate, etc. are required.


Cases	Required documents
If patient has passed away	ID of requester Documents that can confirm the relationship (Family Relation Certificate, Resident Registration Certificate, etc.) Documents that can confirm the fact of death (Family Relation Certificate, Expulsion Certificate, Death Certificate, etc.)
If written signature is difficult if patient is unconscious or afflicted with severe disease or injury	Copy of ID card of person requesting record browsing or issuance of copy Documents based on patient to confirm the relationship (Family Relation Certificate, Resident Registration Certificate, etc.) Diagnosis that can confirm that the patient cannot give a written signature due to unconsciousness or severe disease or injury
If patient is missing	Copy of ID card of person requesting record browsing or issuance of copy Documents based on patient to confirm the relationship (Family Relation Certificate, Resident Registration Certificate, etc.) Documents that can prove the fact of missing patient such as Resident Registration Certificate, copy of Declaration of Missing Person from court, etc.
If patient is incapable of decision making	Copy of ID card of person requesting record browsing or issuance of copy Copy of judgment on commencement of limited guardianship or adult guardianship from court or diagnosis certificate from a specialized psychiatrist Documents based on patient to confirm the relationship

ID : ID including name, date of birth, and photo issued by a public organization
Documents for relationship confirmation : Family Relation Certificate issued within the past 6 months (patient-oriented or requester-oriented)

Cost of issue

Medical records : 1,000 won per page up to 5 pages, 100 won per page for over 6 pages (e.g. 5 pages: 5,000 won, 6 pages: 5,100 won)
Images : 10,000 won per CD, 20,000 won per DVD

Business hours

Without same-day treatment·reservation : Weekdays 08:00 AM - 4:00 PM / Saturdays 08:00 AM - 12:00 PM
With same-day treatment·reservation : Weekdays 08:00~18:00