中文名稱 英文名稱 定價
移民留學體檢証明書 Certificate for immig. or study. 1,000
中文預防注射証明書 Certificate for immunizaion (C) 50
健保成人健檢 ACU(Adult check up) 520
中文體檢證書副本費 Extra copy of Chinese virsion 50
特殊勞工體檢証明書費 Certificate for spec-labor exam. 1,000
殘障證明 Certificate of disablement 2 500
急診一般診斷證明 Emg.pt. certificate of diagnosis 100
門診一般診斷證明 Out.pt.certificate of diagnosisC 10
大陸親屬來台探病證明 Medical certificate for relative 200
英文死亡證明 English certificate of death 200
門診就醫證明C Certificate for out.pt.visitingC 10
保險或徵信證明-門診 Outpt. certificate for assurance 200
補掛號證費 Resend Register-Card Fee 20
診斷證明-健保重大傷病証明申請 Certificate of major dis. diagnosis 100
婚前體檢証明書 Certificate for premarriage exam 500
一般體檢証明書 Certificate for general phys. ex 200
英文體檢證書副本費 Extra copy of English virsion 50
報告製作費(1000) Certificate of outpat. phys. ex.(1000) 1,000
殘障(失能)診斷證明 Certificate of disablement 1 400
兵役證明 Health certificate for MilitaryC 10
門診一般診斷證明 Out.pt.certificate of diagnosis2 50
傷害診斷證明C Certificate of injury (C) 10
病歷資料影印C Medical data of insurance pt.(C) 20
門診就醫證明 Certificate for out.pt. visiting 20
保險或徵信證明-住診 In.pt. certificate for assurance 350
殘障鑑定費 Certificate of Appraisal 500
血緣病情鑑定費 Medical certificate for parentage testing 500
外籍勞工體檢証明書 Certificate of foreign labor 1,000
英文預防注射証明書 Certificate of immunization (E) 200
報告製作費(500) Certificate of outpat. phys. ex.(500) 500
殘障(失能)診斷證明 Certificate of disablement (C) 10
急診一般診斷證明 Emg.pt.certificate of diagnosisC 10
住診一般診斷證明 In.pt.certificate of diagnosis 1 100
傷害診斷證明一 Certificate of injury 1 100
大陸親屬來台探病證明C Medical certificate for rel. (C) 10
英文出生證明 English certificate of birth 200
門診繳費證明C Reciept for outpatient 50
費用明細(每一類別? Medical fee in detail 50
PCU Receipt Fee 50
強制鑑定 Certificate of Compulsive Assessment 2,500
證書費 Certificate fee 0
兵役證明 Health certificate for Military 400
門診一般診斷證明 Out.pt.certificate of diagnosis1 100
住診一般診斷證明 In.pt.certificate of diagnosis 2 50
傷害診斷證明二 Certificate of injury 2 100
病歷資料影印 Medical data of insurance pt. 500
英文診斷證明 English certificate of diagnosis 200
住診繳費證明C Certificate of medical fee IOpt. 50
急診就醫證明 Certificate of medical fee Emgpt 20
附註:自付價格以醫院最後異動價格為主
臺 中 榮 民 總 醫 院 自 付 品 項
中文名稱 英文名稱 定價 附註:自付價格以醫院最後異動價格為主
臺 中 榮 民 總 醫 院 自 付 品 項
REPRINT OPDOE FEE 10
性侵害診斷書 Certificate of Sexual abuse 200
身心障礙輔具需求評估報告 The evaluating report of orthesis for handicap 240
殘障鑑定費(六折) Certificate of Appraisal 300
殘障鑑定費(八折) Certificate of Appraisal 400
外籍健檢報告製作費(300) Certificate of outpat. phys. ex.(300) 300 家庭申請聘僱外藉監護工診斷書 Medical certificate for foreign labors 1,000
【證書費】殘障鑑定費(單項) Certificate of Appraisal 1,300
【證書費】殘障鑑定費(多項) Certificate of Appraisal 2,600
【證書費】殘障鑑定費(居家單項鑑定醫師出診及交通費)Certificate of Appraisal 1,600
【證書費】殘障鑑定費(居家多項鑑定醫師出診及交通費)Certificate of Appraisal 2,900
醫院機構証明書 CERTIFICATE FOR REQUESTING FAMILY PEDIGREE 100
身障鑑定費(1) Certificate of Appraisal 300
身障鑑定費(2) Certificate of Appraisal 500
身障鑑定費(3) Certificate of Appraisal 600
身障鑑定費(4) Certificate of Appraisal 700
身障鑑定費(5) Certificate of Appraisal 800
身障鑑定費(6) Certificate of Appraisal 900
身障鑑定費(7) Certificate of Appraisal 1,000
身障鑑定費(8) Certificate of Appraisal 1,100
身障鑑定費(9) Certificate of Appraisal 1,200
身障鑑定費(10) Certificate of Appraisal 1,300
身障鑑定費(11) Certificate of Appraisal 1,400
身障鑑定費(12) Certificate of Appraisal 1,500
身障鑑定費(13) Certificate of Appraisal 1,600
身障鑑定費(14) Certificate of Appraisal 1,800
身障鑑定費(15) Certificate of Appraisal 1,900
身障鑑定費(16) Certificate of Appraisal 2,000
身障鑑定費(17) Certificate of Appraisal 2,100
身障鑑定費(18) Certificate of Appraisal 2,400
身障鑑定費(19) Certificate of Appraisal 2,500
身障鑑定費(20) Certificate of Appraisal 2,550
身障鑑定費(21) Certificate of Appraisal 2,600
身障鑑定費(22) Certificate of Appraisal 2,700
身障鑑定費(23) Certificate of Appraisal 2,776
身障鑑定費(24) Certificate of Appraisal 2,900
身障鑑定費(25) Certificate of Appraisal 3,400
身障鑑定費(26) Certificate of Appraisal 4,000
身障鑑定費(27) Certificate of Appraisal 4,400
身障鑑定費(28) Certificate of Appraisal 3,200
中文病歷摘要 Chinese Medical Summary 650
身障鑑定費(29) Certificate of Appraisal 2,200
出生證明 Certificate of birth 100
死亡證明 Certificate of death 50
國民年金保險身心障礙評量表 National Pension Insurance Certificate of disablemen 400
體外受精(試管嬰兒)施術結果證明書Certificate for ART treatment 100
酒癮治療完成證明書 Certificate of Alcohol Addiction Treatment Completion 300 職業傷病診斷書 Physician certification Form of Occupational injury or disease 500
機組人員COVID-19血清抗體檢驗證明書Anti-SARS-COV-S2-Certificate 200
中文名稱 英文名稱 定價 附註:自付價格以醫院最後異動價格為主
臺 中 榮 民 總 醫 院 自 付 品 項
COVID-19-診斷證明書 CERTIFICATE OF DIAGNOSIS 470
補發COVID-19疫苗接種紀錄卡 Reissue charge of COVID-19 Vaccination Recoed 50