Wisconsin 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.
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FAQ

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.

Specifically, narratives should include the following: patient identifier. age and sex of patient; general clinical condition of patient, if appropriate. disease being treated (if this is the same for all patients, this information is not required) with duration (of current episode) of illness.

A narrative report is a type of writing that tells a story based on a real or fictional event. It usually follows a chronological order and includes elements such as characters, setting, plot, conflict and resolution.

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)

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).]

A basic example of a narrative report is a "book report" that outlines a book; it includes the characters, their actions, possibly the plot, and, perhaps, some scenes. That is, it is a description of "what happens in the book." But this leaves out an awful lot.

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.

The key areas of focus are: Being clear on why you are writing the letter. Writing letters directly to the patient whenever possible. Using headings throughout the letter. Keeping the letter brief, clear, readable and relevant. Making sure that information is up to date, accurate and unambiguous.

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Wisconsin Sample Letter to Doctor Requesting Narrative Medical Report