Dispute Mediation · Arbitration
Required Documents
Please make sure to submit the necessary documents when applying for mediation. In addition, it is recommended that you prepare your medical records and related supporting documents in advance for quick appraisal and mediation procedures.
Required Documents
- Required Documents
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- Additional documents
The following additional documents may be required for professional appraisal and mediation tasks and rapid relief: - Medical institution's medical records
- Proof of income
- Video (MRI, X-ray, etc.)
- Before and after surgery
- Receipt of medical expenses
- Other related materials
Documents to be submitted by applicant
| division | shape | Applicant | document |
|---|---|---|---|
| patient | If the patient is an adult | a copy of his | her ID card |
| If the patient is a minor | a Family Relation Certificate with a legal guardian (parental guardian) | ||
| If the patient cannot express his/her own wishes | the guardian (after July 2013, adult guardian or limited guardian) Guardian selection certificate | ||
| If deceased (including death of the patient), | a family relationship certificate with regard to the heir (the actual person) | ||
| Birth certificate for pregnant mother (the actual person) in case of fetal death | |||
| Proxy application (family relationship) | Agent family relationship certificate· Authorized seal certificate· Power of attorney | ||
| Proxy application (without family relationship) | Agent representative | Authorized seal certificate · Power of attorney | |
| Medical Institutions | Representative of a corporation of a medical institution | Permission of corporation registration or establishment of medical institution · Representative ID | |
| Private hospital medical institution | Copy of medical ID | ||
| Copy of the ID of the medical personnel belonging to the medical institution | |||
| Proxy applicant | Attorney seal certificate, attendance | ||
| Common Attorney | Representative Attorney | ||
If the required documents are missing, the Korea Medical Mediation and Arbitration Agency may ask the applicant to supplement the data, or the application may be dismissed.