Free Medical Records Release Fax Sheet Template
Medical Records Release Fax Sheet
FAX |
Date: March 8, 2050
To: Central Hospital
Re: Medical Records Release
Fax No.: 123-456-7890
From: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Contact: [YOUR COMPANY EMAIL]
_____________________________________________________________________________________
Message
I am writing to request the release of medical records as per our previous discussions. The required records are essential in ensuring that our team provides the best and most appropriate care for the patient.
Please ensure that all the relevant data and information are included in the records. This includes all test results, medical history, and any notes from previous consultations.
We respect the patient's privacy and assure you that this information will be kept confidential and will only be used to provide healthcare services.
Thank you for your prompt attention to this matter. Should you have any questions concerning this request, please don't hesitate to contact me at the email provided above.
_____________________________________________________________________________________
Sincerely,
[YOUR NAME]
[YOUR POSITION]
[YOUR COMPANY NAME]
