Dear [Healthcare Provider's Name], I hope this letter finds you well. I am writing to request the medical records of [Patient's Name] for [specific time period]. As their current healthcare provider, it is important for us to have access to their complete medical history in order to provide the best possible care. San Diego, California is known for its thriving healthcare system and exceptional medical facilities. Being one of the leading cities in healthcare, we understand the importance of accurate and comprehensive medical records in facilitating seamless coordination between healthcare professionals. Through this request, we aim to obtain a detailed overview of [Patient's Name]'s medical history, including but not limited to: 1. Doctor's notes and progress reports: Please provide all consultations, evaluations, and progress reports associated with [Patient's Name]'s medical condition during the requested time period. These records allow us to understand the evolution of their health and make informed decisions regarding their treatment plan. 2. Laboratory and test results: We kindly request all laboratory reports, imaging studies, and any other diagnostic tests performed on [Patient's Name]. These records are indispensable in evaluating their current health status and ensuring accurate diagnoses. 3. Medication records: Please include a comprehensive list of medications prescribed to [Patient's Name] during the requested time frame. This assists us in avoiding potential drug interactions and provides insights into their therapeutic history. 4. Surgical and procedural records: If [Patient's Name] has undergone any surgeries or procedures, we kindly request all related operative notes, discharge summaries, and follow-up reports. These records aid in understanding their surgical history and guide us in providing appropriate post-operative care. We assure you that all information obtained from these medical records will be treated with utmost confidentiality and in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations. Our request is in compliance with the legal and ethical guidelines implemented for the safeguarding of patient privacy and data security. We kindly request that you provide the requested medical records within [reasonable time frame, e.g., 30 days], either via fax at [fax number] or through secure email at [email address]. Should you require any additional documentation or information from our end, please do not hesitate to contact me at [your contact information]. Thank you for your prompt attention to this matter. We appreciate your efforts in assisting us in providing comprehensive and continuous care to [Patient's Name]. Sincerely, [Your Name] [Your Title/Position] [Your Healthcare Facility/Organization]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.