Hawaii Sample Letter to Doctor Requesting Narrative Medical Report

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Multi-State
Control #:
US-0533LTR
Format:
Word; 
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This form is a sample letter in Word format covering the subject matter of the title of the form.

Subject: Request for Narrative Medical Report — Hawaii Sample Letter to Doctor Dear [Doctor's Name], I hope this letter finds you well. My name is [Your Name] and I am writing to kindly request your assistance in preparing a narrative medical report regarding my health condition for legal purposes. I have been advised that having a comprehensive medical report will greatly contribute to my case. As a patient in the state of Hawaii, I understand that you might be required to structure the report in a specific manner to comply with local requirements. I would appreciate it if you could provide me with a detailed narrative medical report that encompasses the following essential elements: 1. Personal Information: — Full name, datbirthtAlanaaddresseeses— - Contact details (phone number, email) 2. Medical History: — A chronological summary of my medical history, including relevant surgeries, illnesses, or injuries. — An overview of any pre-existing conditions that might affect my current health status. — If applicable, the impact of lifestyle factors such as smoking, alcohol consumption, or obesity. 3. Current Health Condition: — Description of the current health issue, its onset, and progression. — Any symptoms experienced, their intensity, duration, and frequency. — Examination findings, including vital signs, test results, and imaging studies. 4. Treatment Details: — Detailed information about all prescribed medications, dosages, and frequency. — Past and ongoing treatments, including surgical procedures, medical therapies, or rehabilitation programs. — Adverse reactions to any medications or treatments. 5. Functional Limitations: — Any physical or cognitive limitations caused by the medical condition. — Impact on daily activities, including self-care, work, hobbies, and social interactions. — Duration and prognosis of these limitations. 6. Specialist Consultations: — Summary of any consultations with other healthcare professionals. — Opinion or recommendations provided by specialists in relevant fields. I kindly request that you use concise, clear, and non-technical language while preparing the narrative medical report. It should be comprehensive enough to provide an accurate understanding of my health condition and its potential effects, while also supporting the legal requirements of my case. Once the report is complete, I would appreciate it if you could send it to me in both hard copy and electronic format, either via email ([Your Email Address]) or by postal mail to the following address: [Your Postal Address]. Thank you for your valuable time and attention to this matter. If you have any questions or need any further information, please do not hesitate to contact me directly. Your support in this process is greatly appreciated. Sincerely, [Your Name] [Your Contact Information]

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Dear: [Contact Name/Medical Director], I am writing on behalf of my patient, [Patient First and Last Name] to document the medical necessity for treatment with [DRUG NAME]. This letter provides information about the patient's medical history, diagnosis and a summary of the treatment plan.

A typical patient narrative report or warning should be written in a specific way: The exact nature, the intensity of the medical issue and the final outcome of the event. The medical course that led to the event. Drug administration regularity. Counter assessment. Post mortem study (if relevant)

The narrative request will include a summary of your pertinent medical history collected from your medical records. This summary will set forth the foundation or basis for which your physician had the evidence and information upon which to make a medical opinion.

I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses' notes; test results; consultations with specialists; referrals).]

?Narrative reporting? describes the non-financial information included in annual reports to provide a broad and meaningful picture of the company's business, its market position, strategy, performance and future prospects.

The cost of narrative reports can be several hundreds of dollars, to several thousands, and the charges by doctors for their Deposition testimony are usually several thousands of dollars.

A Medical Narrative Summary is a concise yet compelling report that provides a summary of all the medical treatment in a manner that is easy to understand. It requires expertise, and therefore, outsourcing is common.

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Hawaii Sample Letter to Doctor Requesting Narrative Medical Report