Regulations of Labor insurance Health Examination for Prevention of Occupational Disease Article 4

An application form shall be submitted to the insurer when applying for health examinations. Where the application is approved, the insurer shall notify the applicant and issue a health examination certificate. The insured person shall receive the health examination at a medical institution that offers health examinations for prevention of occupational disease.Unless provided for by the Occupational Safety and Health Act, the format of the application form and health examination certificate in the preceding paragraph shall be set by the insurer.
中文原文 勞工保險預防職業病健康檢查辦法(850629訂定)第4條
申請健康檢查時,應填具申請書件向保險人申請。
經審查符合規定者,保險人應通知申請人,並核發健康檢查證明單,由被保險人於規定時間內前往辦理勞工保險預防職業病健康檢查之醫療機構受檢。
前項申請書件及證明單格式,除依職業安全衛生法令規定者外,由保險人另定之。

English translation for reference only; the Chinese text prevails. Not legal advice.