When writing a letter to request medical records from a hospital, it's essential to provide clear details such as the patient's name, patient ID, date of admission, and the reason for requesting the records. Ensure that you enclose any necessary documents, such as proof of payment or identification, to facilitate the process. Maintain a respectful and polite tone throughout the letter.
Application for Issuance of Medical Record of Patient - Request Letter for Medical Records from Hospital
To,
The Manager – Medical Record Department (MRD),
___________ Hospital (Hospital Name),
___________ (Address)
Subject: Application for Issuance of Medical Record of Patient _______ (Patient Name), Patient ID – ________
Respected Sir/Madam,
This is to inform you that I ________ (Patient Name) got admitted in your hospital on _______ (dated) having patient ID ________ (Patient ID).
I am writing this letter in order to request you to issue medical records pertaining to his hospitalization as I have to _______ (the reason for issuance of medical records – medi claim insurance/ personal reasons/ any other reason).
All the dues related to his/her hospitalization have already been paid. The copy of the payment is enclosed for your reference.
I request you to kindly issue the medical records at the earliest.
Yours truly,
_______ (Signature)
_______ (Your Name)
_______ (Contact Number)
Enclosure:
• Copy of Bill
• ID/Address Proof (If applicable)
• _______ (Any Other Supporting Document – if applicable)
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Sandeep Bhandari