Showing posts with label Request letter for Medical Records. Show all posts
Showing posts with label Request letter for Medical Records. Show all posts

Thursday, December 18, 2008

Authorization Letter for Medical Records

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/