Request Letter to Transfer Medical Records – Sample Letter Requesting to Transfer Medical Records

_________ (Recipient Details)

Date: __/__/____ (Date)

Subject: Request for transferring medical records

Dear Sir/ Madam,

This is to most humbly inform you that I am undergoing through ___________ (mention treatment name) from __________ (hospital’s name) under the guidance of __________ (doctor’s name) having patient ID number ________ (patient ID number).

Courteously, I would request you to kindly transfer my medical records to ____________ (name of the doctor) of ____________ (hospital’s name and address) as _______________ (mention reason for transfer of medical records).

I shall be highly obliged for your quick response.

Yours truly,
__________ (signature),
__________ (your name),
__________ (address)

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