Letters in English
Professional sample letter format for Request Letter to Hospital for Medical Records
Letter Template

Request Letter to Hospital for Medical Records

Kshitij Tarun
March 3, 2021
Categories:
Request Letters
Medical Letters
Hospital Letters
Writing Tips
When drafting a request letter to a hospital for medical records, clarity and politeness are essential. Begin with a formal address, date, and subject. Clearly state the purpose of the request, specify the type of medical record needed, and mention the reason for the request. Provide necessary details such as patient ID and contact information. Express willingness to pay applicable charges and expect a prompt response.

Sample Request Letter for issuance of medical record

To,
The Hospital Manager,
__________ (Hospital Name),
__________ (Address)

Date: __/__/____ (Date)

Subject: Request for issuance of medical record

Respected Sir/ Madam,

I am __________ (Name) and I am a resident of __________ (Address). I would like to state that I got admitted/ treatment for ________ (Mention) on __/__/____ (Date).

I am writing this letter to request you for issuance of __________ (Inform what record you want). As per hospital guidelines, I request you to issue a copy of my medical records.I need this for ________ (Reason). My patient ID is __________ (Patient ID).

I am ready to pay all charges applicable. For any queries, you may contact me at ________ (Contact number). I expect to hear back from you at the earliest.

Thanking You,
__________ (Signature),
__________ (Name),
__________ (Contact Number)

Editable Letter Templates

Personalize, print, or download these templates for your use.