WRITING A COVER LETTER

Description Authorize the release of your private medical records to another physician or organization with this letter template. The letter offers to pay for the copying costs . User [Street Address] [City, ST   ZIP Code] [Date] [Doctor Name] [Medical Practice or Hospital Name] [Street Address] [City, ST   ZIP Code RE: Release of medical records for User , DOB: [date] , SSN: [Social Security Number] Dear [Doctor Name] : Please release my medical records related to treatment for [medical conditions] rendered by you or under your supervision from [date] through [date] . This information will be used to further assist in my medical care, and should be mailed to: [Your Name or Name of Party to Receive Records] [Street Address] [City, ST   ZIP Code] Please bill me for costs associated with providing copies of my records, and I will remit payment promptly upon receipt of the records. Sincerely, User

Learn how to write Authorization Letter. You can use this sample Authorization Letter format directly as well. A medical authorization letter should be clear and to the point and short. Be specific on whom you are authorizing and what you expect the reader to do. Below given letter is an authorization letter for the release of medical documents. Ensure that your tone is professional and straightforward throughout the letter Your name Your Address Your City state, zip Your Phone number, Your Email Date Doctors Name address, City, State, Zip.                                            To whomsoever it may concern, I _________________ (your name) hereby authorize ____________(doctors name) to provide __________(another doctors name ),all my medical reports; x rays, lab reports, and all information of the treatment I took from ___________ doctor since ____________(date).I give my pe...