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Privacy Policy

Please read through the "Collection of Personal Data – Statement of Purposes" before you fill in this form.

Submission by electronic mail is not applicable except otherwise specified. Please refer to the forms for details.

General Service

Title Download Web Form
Application for Updating Personal Particulars / Transfer of Health Record
FHS46CD (Rev. Sept 2021)
PDF Format Web Form
Application for Medical Report (Child)
FHS118A (Rev. Feb 2024)
PDF Format Web Form
Application for Copy of Child Health Record
FHS118B (Rev. Feb 2024)
PDF Format Web Form
Application for Medical Report (Adult)
FHS119A (Rev. Feb 2024)
PDF Format Web Form
Application for Copy of Health Record/ Investigation Report (Adult)
FHS119B (Rev. Feb 2024)
PDF Format Web Form
Parent/Legal Guardian Consent Form (Disclosure of Personal Data to 3rd Party)
FHS121 (Rev. Apr 2024)
PDF Format Web Form
Client Consent Form (Disclosure of Personal Data to 3rd Party)
FHS122 (Rev. Apr 2024)
PDF Format Web Form
Authorisation for collection of copy of health record/ copy of investigation report/ medical report
FHS123 (Rev. Apr 2024)
PDF Format Web Form

Application for Immunisation Record

Title Download / Web Form
Application for Replacement of Immunisation Record
FHS124 (Rev. Feb 2024)
For babies and preschool children who are current MCHC Child Health Service Clients
PDF Format
Web Form
Application for Replacement of Immunisation Record for Adults
FHS139 (Rev. May 2019)
For Antenatal/ Postnatal/ Family Planning Service Clients who have received vaccination in MCHC
PDF Format
Application for Copy of Childhood Immunisation Record
DH2797 (Rev. Mar 2024)
For Clients who have received childhood immunisation in MCHC, Student Health Service Centre and/or by School Immunisation Team
PDF Format
Web Form

Child Health

Title Download / Web Form
Child Health Service - First Registration Form
FHS11A (Rev. Oct 2019)
PDF Format

Antenatal/Postnatal and Family Planning

Title Download / Web Form
Family Planning Service / Postnatal Service / Woman Health Service / Cervical Screening – First Registration Form
FHS50 (Rev. Oct 2023)
PDF Format
Antenatal Service - First Registration Form
FHS51 (Rev. Dec 2021)
PDF Format