Arkansas Sample Letter for Enclosure of Medical Reports

State:
Multi-State
Control #:
US-0950LTR
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form.

Subject: Arkansas Sample Letter for Enclosure of Medical Reports Dear [Recipient's Name], I am writing to provide you with the necessary medical reports enclosed herewith, regarding [patient's full name], as requested by your office. These medical records are being shared in compliance with the applicable laws, regulations, and guidelines governing the release of confidential patient information (HIPAA). [patient's full name] has undergone comprehensive medical examinations and treatment at [medical facility name] under the care of [physician's name] since [start date of treatment]. Enclosed in this letter, you will find a meticulously prepared package containing all the relevant medical documentation necessary for [patient's full name]'s case evaluation [or any other specific purpose]. The medical records encompass a comprehensive overview of [patient's full name]'s medical history, including diagnostic procedures, laboratory results, medical imaging reports, surgical notes, medication prescriptions, progress notes, and any other relevant documentation. These records collectively offer a detailed understanding of [patient's full name]'s condition, ongoing treatment plans, and overall prognosis. It is crucial for you to maintain utmost confidentiality while handling these enclosed medical records, ensuring that the information is accessed and reviewed exclusively by authorized personnel involved directly in the evaluation of [patient's full name]'s case. Any breach of confidentiality may result in serious legal consequences and undermine the ethical standards we all strive to uphold. In case any additional documentation or information is required to facilitate the evaluation process, please do not hesitate to reach out to me at [your contact information]. Our medical team is readily available to address any questions or concerns you may have in relation to [patient's full name]'s medical reports. We kindly request acknowledgment of receipt of the enclosed medical records via a signed confirmation letter, acknowledging the date of receiving these documents and the responsible personnel handling them. This confirmation will serve as a record for our office and ensure a smooth flow of further communication. Thank you for your prompt attention and anticipated cooperation throughout the handling of [patient's full name]'s medical records. We trust that these documents will provide valuable insights into their medical history and facilitate appropriate care or decision-making as required. Yours sincerely, [Your Name] [Your Title] [Your Medical Facility/Organization Name] [Your Contact Information] Keywords: Arkansas, sample letter, enclosure of medical reports, confidential patient information, HIPAA, medical examinations, diagnostic procedures, laboratory results, medical imaging reports, surgical notes, medication prescriptions, progress notes, medical history, treatment plans, prognosis, confidentiality, authorized personnel, breach of confidentiality, legal consequences, ethical standards, evaluation process, additional documentation, information, confirmation letter, acknowledgment, cooperation, decision-making.

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FAQ

Provide health care and support for eligible Arkansans of all ages and abilities. That means we infuse billions of dollars into communities when we pay local doctors, hospitals, therapists, nursing homes, and others who keep people healthy and thriving.

Kristi Putnam serves as the Arkansas Department of Human Services (DHS) Secretary. She is responsible for leadership and oversight of the department's efforts, which support the health and well-being of all Arkansans, especially those who are most in need.

If you suspect misconduct or have concerns ? but aren't sure who to direct them to ? please use the DHS Integrity form below. You can make a report through the form and hotlines anonymously. Fraud Hotline for suspected fraud: Please call 1-(800)-422-6641 or email ContactDHSFraud@arkansas.gov.

You may call or email the DHS County Office at the phone number or webmail address shown to report changes for your TEA, Medicaid, or SNAP case(s). Please use the toll-free number provided if the DHS County Office number is long distance. Is this a new address?

Purpose. The DCO-702 is used by facilities to report to the DHS county office all Medicaid-related admissions, discharges, and transfers.

More info

I am enclosing all medical records pertaining to my treatment and hospitalization as well as the amount I am requesting for reimbursement for your perusal. I ... Sep 15, 2009 — The purpose of this letter is to request copies of my medical records as allowed by the Health Insurance Portability and Accountability Act ( ...Sep 15, 2023 — To upload the template into Google Docs, go to File > Open > and select the correct downloaded file. Tips for including a cover letter enclosure. For example, a letter with two enclosures would have an enclosure ... Copy the letter for the patient's file. 10. Send the patient the original letter. PROCEDURE ... For example, the statewide database, Arkansas Public School Computer Network ... the letter detailing the monitoring findings. The CAPs include specific ... The initial paragraph of your Doctor Letter should acknowledge the name of the applicant; date and type of exam (AME, QME, AOE/COE), applicant's occupation, ... These rules have been prepared for the purpose of establishing a criterion for minimum standards for licensure, operation and maintenance of hospitals and ... The detailed enclosure letter found in the correspon- dence file is extremely ... This letter was produced by Superior in response to a request for documents ... May 2, 2022 — RULES AND REGULATIONS FOR THE ADMINISTATION OF VITAL RECORDS. RULE 1.0. DUTIES OF STATE REGISTRAR OF VITAL RECORDS .

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Arkansas Sample Letter for Enclosure of Medical Reports