Free Printable Emergency Transfer Request Letter Template
Printable Emergency Transfer Request Letter
October 17, 2055
Dr. John Smith
St. Mary’s Hospital
Pediatric Intensive Care Unit
456 Oak Avenue
Anytown, State, 12345
Dear Dr. Smith,
I am writing to formally request an emergency transfer for my daughter, Emily Johnson, who is currently under your care in the Pediatric Intensive Care Unit at St. Mary’s Hospital. Due to her complex medical needs and the necessity for specialized care, I believe that a transfer to Children's Health Medical Center is essential for appropriate and timely medical intervention.
Emily has been diagnosed with severe respiratory distress and has a history of asthma exacerbations that require close monitoring and specific treatment protocols. Children's Health Medical Center is equipped with advanced respiratory care facilities and pediatric specialists who can provide the intensive care that Emily needs at this critical time.
Enclosed are the relevant medical documents and reports from your institution, outlining the progression of Emily's condition to date. Kindly coordinate this transfer at the earliest possible time to ensure continuity of care and prevent any deterioration in her health.
We understand the complexities that come with arranging an emergency transfer and are ready to provide full cooperation. Please contact us at your earliest convenience at (555) 123-4567 for any further information or to discuss the logistics of the transfer.
Thank you for your prompt attention to this urgent request. We and our family hold immense gratitude toward your dedicated team for the care and support provided thus far.
Yours sincerely,
[Your Name]
Parent/Guardian
