体健检资料搜集同意书-成功大学.docVIP

校部新生體檢資料蒐集同意書 National Cheng Kung University for Freshman Physical Examination Consent for Release of Information 為符合「學生健康檢查實施辦法」、「外國人停留居留及永久居留辦法」, 同意國立成功大學醫學院附設醫院逕將本人之個人資料及體檢報告提供國立成功大學「衛生保健組」、與國立成功大學附設醫院家庭醫學部做為學生健康管理及辦理勞工健康管理業務之用。 In accordance with relevant laws and regulations of the “Health Examinations implementation measure” and “Governing Alien visits, Residence and Permanent Residence”; I, _________________________ (Name on your Passport), give my permission for National Cheng Kung University Hospital (NCKUH) to disclose my personal health information to the National Cheng Kung Unive