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.
Pennsylvania 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
Act 26 charges OVR, in collaboration with Pennsylvania's Department of Education (PDE), to collect and report data related to special education students with transition plans and with facilitating the process of job and career development between local education agencies (LEAs) and public and private employers, ...
Dear Dr. [Doctor's Last Name], I hope this letter finds you well. My name is [Your Name], and I am writing to seek your expert medical assistance regarding a [briefly describe the medical issue or concern].
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).]
Under 42 Pa. C.S. §§ 6152, 6152.1 and 6155 (relating to subpoena ofrecords; limit on charges; and rights of patients), a health care provider or facility is allowed to charge a fee in response to a request for medical charts or records. The Secretary of Health (Secretary), under 42 Pa.
In Pennsylvania, doctors must keep medical re- cords for seven years after the last treatment date. In the case of minor children, medical records must be kept for one year after the age of major- ity or for seven years, whichever is longer.
Act 26 is a Pennsylvania law that requires the expulsion for at least one year of any student who possesses a weapon on school property, at a school function, or going to and from school. Many students have faced expulsion as a result of this law. Review the complete fact sheet for more information.
Contact the state department of health: Reach out to the Pennsylvania Department of Health by calling 877.774. 4748 or emailing pasiis@state.pa.us. Any records for vaccines given in Philadelphia must be obtained by contacting 215.685.
Rights of patients. (1) A patient or his designee, including his attorney, shall have the right of access to [all of] his medical charts and records and to [photocopy] obtain photocopies of the same, without the use of a subpoena duces tecum, for his own use.