Sample Letter Requesting Medical Records For A Patient

Complete an Authorization Form The first step will be completing an authorization for disclosure of protected health information form. A growing number of healthcare facilities offer their authorization forms online so they can be completed ahead of time.

Dear Recipient's name, I am writing you to request copies of my medical records. I was treated in your office on xx/xx/xxxx. Please include all of my charts, test results, and consultation notes including referrals regarding my medical care.

Patient requests must be written without requiring a "formal" release form. Include signature, printed name, date, and records desired. Release a copy only, not the original. The physician may prepare a summary of the medical record, if acceptable to the patient.

A patient has the right to request an amendment to his or her medical record.A physician has the right to determine if the change will be made. The medical record should contain both the patient's request and the physician's response.

Normally, one would simply have to call the health care provider and request a copy of the record and pick them up, after signing a release for the records. Some records that patients may want to request are test results, reports for surgeries, doctor's notes, discharge summaries and specialists' reports.

You can formally request specific information from the Ministry of Health. In limited circumstances, access to information will require a formal access application. A copy of an application form that you may use to request information held by the Ministry of Health is available.

Explain precisely what your request is. Mention the reason for the request. Use polite language and a professional tone. Demonstrate respect and gratitude to the reader. The content of the letter should be official. You may provide contact information where you can be reached.

The HITECH Act is an excellent tool attorneys can use to obtain medical records at a lower cost. Disability attorneys, workers compensation attorneys and personal injury attorneys spend thousands of dollars each year obtaining the medical records of their clients.