This letter serves to notify client's medical provider of attorney's representation of client. Letter further requests disclosure to attorney of client's medical records and related other information.
Missouri Letter to Doctor Requesting Client's Medical Information
State:
Multi-State
Control #:
US-PI-0017
Format:
Word;
Rich Text
Instant download
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How to fill out Letter To Doctor Requesting Client's Medical Information?
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FAQ
Under Missouri law, your health care provider owns the actual medical record.
In Missouri, medical records must be retained for a minimum of 7 years. Desert River Solutions makes it easy for you to ensure your patients have access to their medical records for the legally required amount of time.
Medical information requests (MIRs) are a crucial part of the healthcare and life sciences industry, allowing healthcare providers to obtain the information they need to provide the best possible care for their patients.
The Health Insurance Portability and Accountability Act (HIPAA) requires strict confidentiality of patients' medical records, with the following three exceptions: Doctors may share medical information with any individual making medical decisions on your behalf if you are incapacitated and receiving emergency care.
Your health information cannot be used or shared without your written permission unless this law allows it. For example, without your authorization, your provider generally cannot: Give your information to your employer.
All physicians, chiropractors, hospitals, dentists, and other duly licensed practitioners in this state, herein called "providers", shall, upon written request of a patient, or guardian or legally authorized representative of a patient, furnish a copy of his or her record of that patient's health history and treatment ...
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).]
Missouri Revised Statutes §191.227 Fee of $0.59 per page for copies of documents made on a standard photocopy machine. $23.88 for additional costs if records are maintained off-site.