Download Forms

Download and complete the forms below before your visit or consultation.

FormDownload
臺北榮民總醫院國際醫療同意書暨初診單(International Medical Service Registration and Consent Form)PDF, 283 KB
國際醫療病人住院同意書(Admission Consent for IMSC inpatient)PDF, 303 KB
民眾自費檢驗COVID-19申請表(Application Form for COVID-19 PCR test)PDF, 58 KB
國際醫療中心通訊診察知情同意暨個人資料保護同意書表(IMSC Telemedicine Informed Consent and Protection of Personal Information)PDF, 276 KB
特約門診自費費用同意書(Self-financed consent)PDF, 102 KB