Re: AUTHORIZATION LETTER FOR MEDICAL RECORDS
TO WHOM IT MAY CONCERN,
I am [Name] of [insert address]. I have been a patient of [insert medical facility] under [Doctor's name] for a number of years.
I hereby authorise release of all requested medical information to the above-listed requesting company.
Sincerely,
Letterbarn
http://letterbarn.blogspot.com/
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