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Insurance Service
Video Issuance Information

Video Issuance Information

Inquiry 02-3779-1516,  2326,  2327
  1. 1Video recording CD Application • Presenting required documents Windows No. 31 ~ 33 on the second floor of the main building
  2. 2Payment of the video costs and receipt one CD copy: 14,000 won, One DVD copy: 23,000 won

  • "The patient’s medical records shall not be accessed by an individual other than the patient who can view or copy the record in accordance with Article 21 (2) of the Medical Law, butit is possible to issue a copy only if it satisfies Article 21 (3) of the Medical Law, and Article 13 (3) (requirements such as reading records) of the Enforcement Regulations of the Medical Law.

    If patient's application and consent are possible

    Applicant Age of the patient Required documents
    Patient Less than 17 years old
    (Person whose resident registration card is not issued)

    ID card of the patient

    1. Student's card, youth certificate, passport, family relationship certificate, a certified copy and an abstract of resident registration
    17 years old or older
    (Person whose resident registration card is issued)

    ID card of the patient

    1. Resident registration card, driver's license, passport, abstract of resident registration
    Family or relative
    (Patient's spouse, direct line ascendant • descendant, direct line ascendant of the spouse)    		 Less than 14 years old
    1. ID card of patient's legal representative (applicant)
    2. A document confirming being the legal representative of the patient a (family relationship certificate or a certified copy of resident registration)
    14 years old or older
    1. ID card of the patient
    2. ID card of the applicant
    3. A document to confirm that the applicant has a family or relative relationship with the patient (family relationship certificate or certified copy of resident registration)
    4. A written consent form signed by the patient
    Representative
    (Brother, sister, insurance company employee, daughter-in-law and son-in-law, etc.)    		 Less than 14 years old
    1. ID card of the patient's legal representative
    2. ID card of the applicant
    3. A document confirming being the legal representative of the patient (a family relationship certificate or a certified copy of resident registration)
    4. A written consent form signed by the legal representative
    5. A power of attorney signed by the legal representative
    14 years old or older
    1. ID card of the patient
    2. ID card of the applicant
    3. A written consent form signed by the patient
    4. A power of attorney signed by the patient

    If patient's consent is possible (If a subagent is appointed)

    Applicant Age of the patient Required documents
    Family member or relative
    		Less than 14 years old
    1. ID card of the patient's legal representative (delegate)
    2. ID card of the applicant (subagent)
    3. A document confirming being the legal representative of the patient (a family relationship certificate or a certified copy of resident registration)
    4. A written consent form signed by the patient’s legal representative (delegate)
    5. A power of attorney signed by the patient’s legal representative (delegate)
    14 years old or older
    1. ID card of the patient
    2. ID card of a family member or a relative (delegate)
    3. ID card of the applicant (subagent)
    4. A document to confirm having a relative relationship with the patient (a family relationship certificate or a certified copy of resident registration)
    5. A written consent form signed by the patient (specifying the phrase to allow the appointment of a subagent)
    6. A written consent form signed by a relative of the patient
    7. A power of attorney signed by a relative of the patient
    Representative
    		Less than 14 years old
    1. ID card of the legal representative of the patient (delegate)
    2. ID card of the applicant (subagent)
    3. A document to confirm being the legal representative of the patient (family relationship certificate or certified copy of resident registration)
    4. A written consent form signed by the patient’s legal representative (specifying the phrase to allow the appointment of a subagent)
    5. A written consent form signed by the patient’s representative
    6. A power of attorney signed by the patient’s representative
    14 years old or older
    1. ID card of the patient
    2. ID card of the patient’s representative
    3. ID card of the applicant (subagent)
    4. A written consent form signed by the patient (specifying the phrase to allow the appointment of a subagent)
    5. A written consent form signed by the patient
    6. A power of attorney signed by the patient

    If patient's consent is not possible

    Applicant Age of the patient Required documents
    Family or relative
    (Patient's spouse, direct line ascendant • descendant, direct line ascendant of the spouse)

    ➀ Death
    1. ID card of the applicant
    2. A document that confirms being a family or a relative relationship with the patient
    3. A document that confirms the death (family relationship certificate, copy of deletion from family register, death certificate, etc.)

    ➁ Unconsciousness or serious illness• injury
    1. ID card of the applicant
    2. A document that confirms being the family or relative relationship with the patient
    3. A document that confirms that the patient cannot sign autographs due to unconsciousness, serious illness or injury (doctor's medical certificate, opinion letter, etc.)

    ➂ Missing
    1. ID card of the applicant
    2. A document that confirms being the family or relative relationship with the patient
    3. A document to confirm that the patient is missing (certified copy of resident registration, copy of the court's disappearance sentence, etc.)

    ➃ Person devoid of mental capacity
    1. ID card of the applicant
    2. A document that confirms being the family or relative relationship with the patient
    3. A document that proves that the patient is a person devoid of mental capacity (A copy of the judge's decision on the sentencing incompetency or a medical certificate of a psychiatrist)
    Representative
    (when there is no brother, sister, or a relative)

    ➀ ~ ➃
    1. ID card of the applicant
    2. A document that confirms the sibling’s relationship with the patient
    3. A documents that can confirm the patient's condition
    4. A document proving that there is no family and relative (copy of deletion from family register)
    5. Confirmation to view medical records and issue a copy
    Representative
    (Insurance company employee, a third party relative such as daughter-in-law or son-in-law appoints a representative)

    ➀ ~ ➃
    1. ID card of the applicant
    2. ID card of a relative
    3. A document that confirms the relative relationship with the patient
    4. A documents that can confirm the patient's condition
    5. A written consent form signed by a family member or a relative of the patient
    6. A power of attorney signed by a family member or a relative of the patient

    Registration of External Video CD

    • For a quick medical treatment, please register the video CD recordings from an external hospital to the external video CD register machine on the 2nd floor of the main building before medical treatment.
    • If an error is caused by an image that is not supported by our device, please speak to the staff at the certificate windows. We will examine the issue.

    Download a consent form or a power of attorney

    Download a consent form
    DownloadDownload
    Download a power of attorney
    DownloadDownload

  • Notice

    • On holidays and at night, it can be issued after submitting the application and payment at the reception window of the radiology department on the 2nd floor
    • An inpatient can receive it at the certification window on the 2nd floor (no. 31 ~ 33) after applying it to the nurse's office during the hospitalization period.