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Last Update: 2007-07-16
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Affidavit
Last Update:
2007-07-16
Application
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Certificate
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Letter of Consent
Affidavit
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Others
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Affidavit
No.
Title
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1.
General Patient Self-Paid Hospitalization Affidavit
2.
Voluntary Discharge Affidavit
3.
Letter of Consent for Self-Payment
4.
Letter of Guarantee for Hospitalization
5.
Quarantine Notification of Statutory Infectious Disease
6.
National Health Insurance Patient Room Co-Payment Affidavit
7.
Letter of Guarantee on Amortization
8.
Post-Discharge Subsequent Diagnosis Project
9.
Letter of Pledge for Payments
10.
Receipt
11.
Basic Information for the Hospitalized Patient
12.
Hospitalized Patient History
13.
First Visit Registration Form
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Address: No. 168 Chong Shin Road, Lungtan, Taoyuan County
Phone:
03-479-9595
Voice registrations:
03-479-999
Manual registration:
03-499-1668
Complaint:
03- 4801601
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