Hawaii Sample Letter to Doctor Requesting Narrative Medical Report

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Multi-State
Control #:
US-0533LTR
Format:
Word; 
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This form is a sample letter in Word format covering the subject matter of the title of the form.
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FAQ

Dear: [Contact Name/Medical Director], I am writing on behalf of my patient, [Patient First and Last Name] to document the medical necessity for treatment with [DRUG NAME]. This letter provides information about the patient's medical history, diagnosis and a summary of the treatment plan.

A typical patient narrative report or warning should be written in a specific way: The exact nature, the intensity of the medical issue and the final outcome of the event. The medical course that led to the event. Drug administration regularity. Counter assessment. Post mortem study (if relevant)

The narrative request will include a summary of your pertinent medical history collected from your medical records. This summary will set forth the foundation or basis for which your physician had the evidence and information upon which to make a medical opinion.

I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses' notes; test results; consultations with specialists; referrals).]

?Narrative reporting? describes the non-financial information included in annual reports to provide a broad and meaningful picture of the company's business, its market position, strategy, performance and future prospects.

The cost of narrative reports can be several hundreds of dollars, to several thousands, and the charges by doctors for their Deposition testimony are usually several thousands of dollars.

A Medical Narrative Summary is a concise yet compelling report that provides a summary of all the medical treatment in a manner that is easy to understand. It requires expertise, and therefore, outsourcing is common.

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Hawaii Sample Letter to Doctor Requesting Narrative Medical Report