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Patient & Visitor

Medical Records Application

※Office Hours: 
-National Taiwan University Hsin-Chu Hospital:

Monday-Friday: 8:00 A.M.-5:00 P.M. Saturday: 8:00 A.M.-11:30 AM.

-National Taiwan University BioMedical Park Hospital:
Monday-Friday: 8:00 A.M.-5:00 P.M. 

-National Taiwan University BioMedical Park Hospital Chu-Tung Campus:
Monday-Friday: 8:00 A.M.-5:00 P.M.

The undersigned hereby authorizes National Taiwan University Hospital Hsin-Chu Branch to release my medical information described above. 
_________________ Signature of Patient or Patient's Legal Representative
_________________ Signature of Patient's Representative

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