Free Medical Permission Letter Template
Medical Permission Letter
January 13, 2050
Rachel Forge
Medical Officer
6947 Main St.
Mackinac, MI 49757
Dear Ms. Forge,
I am writing to confirm that my lawyer, Robin Wyman, has my permission to access my medical records. This request is for an ongoing case where the medical records will assist in supporting my legal position.
Please be informed that the purpose of granting access to my medical records is solely for the purpose of legal proceedings. All information obtained shall be treated with utmost confidentiality and used only within the confines of the case.
If you require any further documentation or information to proceed with this request, please do not hesitate to contact me at the provided contact information above. I am available for any discussions or clarifications that may be necessary.
Thank you for your attention to this matter.
Sincerely,
[Your Name]
[Your Email]
