Free Authorization Medical Letter Template
Medical Authorization Letter
Jason Winters
99 Sunset Ave.
San Rafael CA 94901
May 1, 2050
Eric Lance
Insurance Officer
820 Damian St.
San Rafael CA 94901
Dear Mr. Lance,
I hope this letter finds you well. I am writing to confirm that I give permission and authorize my wife, Mrs. Jill Winters, to access my medical information during my stay as a patient at Maxor Hospital.
Mrs. Jill Winters is a dependable person who will assist and help me during this time of illness. It is essential for her to have access to all relevant medical information, including test results, treatment progress, and any other pertinent details. By granting her access, I believe it will contribute positively to my overall well-being and speedy recovery.
Please note that my wife, Mrs. Jill Winters, will act responsibly and professionally when handling any confidential medical information. I trust her to respect the privacy and sensitivity of these documents and only utilize the information for the purpose of providing me with the necessary support and assistance.
If there are any further inquiries or discussions required, please do not hesitate to reach out to me directly. I am available for a meeting or discussion at your convenience. You may contact me via email at jason@email.com or phone at 222 555 7777.
Thank you for your attention to this matter. I greatly appreciate your cooperation in ensuring that my wife has the necessary access to my medical information. Your understanding and support during my time as a patient are sincerely appreciated.
Yours sincerely,
Jason Winters
