Free Letter Requesting Medical Records Template

Letter Requesting Medical Records

Barbara M. Vizcaino

161 Romano Street

Woburn, MA 01801


Dear Ms. Vizcaino,

I am writing this letter on behalf of Daniel Craig, who receives medical care at Mercy General Hospital. As their attending physician, I kindly request the medical records related to their treatment.

Mr. Craig was admitted to our hospital on February 27, 2050, and was diagnosed with acute tonsillitis. It is important to have a complete record of their medical history for further evaluation and management.

Please provide copies of all medical documents, including but not limited to laboratory results, imaging reports, progress notes, and discharge summaries. These records will significantly assist us in providing the best possible care for the patient.

Please do not hesitate to contact me if you require any additional information or have any questions regarding this request. I am available for further discussion at your convenience.

Thank you for your prompt attention to this matter.

Sincerely,

Dr. Calvin M. Fite

Mercy General Hospital