Regulations Governing the National Health Insurance Referral Article 12

A contracted hospital or clinic which arranges referral service according to the Regulations shall collect the outpatient medical expense co-payment from the beneficiary pursuant to Paragraphs 1 to 3 of Article 43 of the Act.
中文原文 全民健康保險轉診實施辦法第12條
特約醫院、診所依本辦法辦理之轉診,對於保險對象應自行負擔之門診醫療費用,應依本法第四十三條第一項至第三項規定計收。

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