Thursday, December 18, 2008

Employer Request for Medical Records

Dear [Name]

[Insert Name] has applied to the [Insert Company Name] for employment in the position of Construction Foreman. Because of the physical requirements this position entails, we request the following medical records:

CBC Blood, Urine Sample
Chest X-ray
Any hospitalization or Medical Treatment records

Enclosed is an authorization letter of the applicant granting permission to access his medical records. Thank you for your cooperation.


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