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1. Letter Header: Official letterhead, date, reference number, and subject line indicating 'Permission Letter for Medical Check-Up'
2. Recipient Details: Complete details of the medical facility or institution where the check-up will be conducted
3. Patient Information: Full name, ID number, date of birth, and contact details of the person to undergo the medical check-up
4. Authorization Statement: Clear statement granting permission for the medical check-up, including the scope of examination
5. Purpose Declaration: Stated purpose of the medical check-up (e.g., employment requirement, annual health assessment)
6. Validity Period: Specific timeframe during which the permission is valid
7. Signature Block: Space for signature, name, and date for the person granting permission
1. Guardian Information: Required when the patient is a minor or unable to provide consent themselves
2. Specific Test Authorization: Detailed list of specific tests or procedures being authorized, used when the check-up is for specific purposes
3. Insurance Information: Details of health insurance coverage, if the check-up costs are to be claimed
4. Emergency Contact: Contact details for emergency situations during the medical check-up
5. Language Declaration: Statement confirming understanding of the content when the patient's primary language is not Indonesian
1. Medical Test List: Detailed list of medical tests and examinations to be conducted
2. Required Documents: List of supporting documents that need to be presented during the medical check-up
3. Cost Breakdown: If applicable, breakdown of medical check-up costs and payment arrangements
Healthcare
Insurance
Manufacturing
Mining
Construction
Education
Transportation
Hospitality
Oil and Gas
Maritime
Aviation
Food and Beverage
Pharmaceutical
Human Resources
Health and Safety
Compliance
Legal
Operations
Administration
Risk Management
Medical Affairs
Employee Relations
Recruitment
Human Resources Manager
Health and Safety Officer
Occupational Health Specialist
HR Administrator
Compliance Officer
Medical Affairs Coordinator
Employee Relations Manager
Recruitment Specialist
Corporate Health Manager
Risk Management Officer
Insurance Coordinator
Personnel Administrator
Operations Manager
Administrative Assistant
Legal Compliance Specialist
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