Hawaii Sample Letter for Medical Records Release in Social Security Disability Action

• Category: Letters - Legal - Social Security
• State: Multi-State
• Control #: US-0959LTR
• Format: Word; Rich Text

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. Dear [Healthcare Provider's Name], I hope this letter finds you well. I am writing to request the release of my medical records in relation to my Social Security Disability Action. I am currently applying for disability benefits through the Social Security Administration, and obtaining these records is crucial to support my claim. As per the regulations set forth by the Social Security Administration, I understand that I have the right to access and obtain copies of my medical records. Enclosed with this letter, you will find a copy of the necessary authorization form to release my medical records specifically for my Social Security Disability Action. It is important to note that Social Security Administration requires to be detailed medical documentation that outlines my conditions, diagnosis, treatments undergone, prognoses, and any functional limitations that may arise from my disabilities. The records should include but are not limited to: 1. Consultation notes 2. Progress notes 3. Laboratory and test results 4. X-rays, MRI, CT scans, or any other diagnostic imaging 5. Surgical reports 6. Therapy records (occupational, physical, speech) 7. Psychiatric evaluations and treatment plans, if applicable It is crucial that the records cover a timeframe encompassing my initial diagnosis to the present day. Having a comprehensive set of medical records will greatly support my Social Security Disability claim and enhance its chances of approval. Additionally, I kindly request that the records are provided in the format the Social Security Administration prefers, such as electronic copies (PDF or CD) to expedite the process. Please specify any applicable fees for copying and mailing the records, and I will gladly provide payment promptly. I understand that my request may take time to process, and I greatly appreciate your attention and assistance in this matter. Should you require any further information or documentation, please do not hesitate to contact me. I am available at [your phone number] or [your email address]. Thank you for your prompt attention to this matter. Your cooperation is highly valued and will contribute significantly to the success of my Social Security Disability Action. Sincerely, [Your Name] [Your Address] [City, State, ZIP Code] [Date]

Dear [Healthcare Provider's Name], I hope this letter finds you well. I am writing to request the release of my medical records in relation to my Social Security Disability Action. I am currently applying for disability benefits through the Social Security Administration, and obtaining these records is crucial to support my claim. As per the regulations set forth by the Social Security Administration, I understand that I have the right to access and obtain copies of my medical records. Enclosed with this letter, you will find a copy of the necessary authorization form to release my medical records specifically for my Social Security Disability Action. It is important to note that Social Security Administration requires to be detailed medical documentation that outlines my conditions, diagnosis, treatments undergone, prognoses, and any functional limitations that may arise from my disabilities. The records should include but are not limited to: 1. Consultation notes 2. Progress notes 3. Laboratory and test results 4. X-rays, MRI, CT scans, or any other diagnostic imaging 5. Surgical reports 6. Therapy records (occupational, physical, speech) 7. Psychiatric evaluations and treatment plans, if applicable It is crucial that the records cover a timeframe encompassing my initial diagnosis to the present day. Having a comprehensive set of medical records will greatly support my Social Security Disability claim and enhance its chances of approval. Additionally, I kindly request that the records are provided in the format the Social Security Administration prefers, such as electronic copies (PDF or CD) to expedite the process. Please specify any applicable fees for copying and mailing the records, and I will gladly provide payment promptly. I understand that my request may take time to process, and I greatly appreciate your attention and assistance in this matter. Should you require any further information or documentation, please do not hesitate to contact me. I am available at [your phone number] or [your email address]. Thank you for your prompt attention to this matter. Your cooperation is highly valued and will contribute significantly to the success of my Social Security Disability Action. Sincerely, [Your Name] [Your Address] [City, State, ZIP Code] [Date]