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Authorization Letter For Medical Records

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    Looking for how to write an authorization letter? Medical records are often needed by employers, doctors, sports teams, and various organizations in order to get proof of your health before dealing with you.

    Under such circumstances, you will be compelled to write an authorization letter for medical records to your hospital, clinic or health center, so that the information is released. The letter is addressed to the administration of the medical center which you have received treatment.

    When writing an authorization letter for medical records, ensure that a friendly tone is used. Physicians are prohibited by law from divulging any information concerning the health and wellness of their patients to a third-party unless such action will lead to the recovery of the patient.

    Therefore, the patient must include reasons compelling him or her to release the medical records to a third-party.

    Below is a sample of an authorization letter for medical records addressed to the hospital management for the release of medical records:

    Sample Authorization Letter For Medical Records

    (Sender Name)
    (Sender Title/Position)
    (Sender Organization Name)
    (Sender Street Address)
    (City, State, Zip Code)


    (The Medical Officer)
    (Hospital Name)
    (Hospital Address)

    Dear Sir/Madam,


    I authorized (mention name) to have access to my medical records kept with your hospital. I wish to inform you that I have received treatment from this hospital for the past five years; the last time I was here was (mention period) while suffering from (mention illness).

    The reason I am authorizing (mention name) to receive my medical records is because such records are needed by the team doctors to determine the overall health and wellness of my body before engaging me in practical activities.

    I will be very grateful if my request is put into consideration.

    Yours Faithfully,

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