The referral form referred to in the preceding article shall contain the following items and be duly signed by the issuing physician (refer to Appendix 2),1. The basic information of the beneficiary;2. Abstract of medical records and medical treatment status;3. The purpose of referral;4. The date of issuance and valid period;5. The name, address, phone number, and diagnostic department of the contract hospital or clinic recommended for referral.Where an electronic referral form is adopted, the referring contracted hospital or clinic shall transmit the electronic referral form to the contracted hospital or clinic that accepts the referral and, if required by the beneficiary, print and give a copy of the referral form to the beneficiary who should in turn hand it over to the contracted hospital or clinic which accepts the referral as his or her medical records for future reference.A contracted hospital or clinic is recommended to transmit the referral form referred to in the first paragraph through the electronic referral platform set up by the Insurer.Appendix 2.PDF