Kentucky Sample Letter for Enclosure of Medical Reports

State:
Multi-State
Control #:
US-0950LTR
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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  • Preview Sample Letter for Enclosure of Medical Reports

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FAQ

Providers and Hospitals: Medical records shall be retained for at least six (6) years from date of discharge, or three (3) years after the patient reaches the age of majority under state law, whichever is the longest.

With limited exceptions, Moser's bill establishes a prepaid fee ?not [to] exceed twenty dollars for medical records five pages or less in length and one dollar per page for each page copied after the first five pages and the actual cost of mailing.?

Submit an authorization form or letter requesting your medical record copies be mailed or faxed to another healthcare provider. You must include the name, address, phone number and/or fax number of the healthcare provider. There is no fee for this service.

You can not obtain a family member's medical record unless you have power of attorney, guardianship or are the executor of the patient's estate. You must submit an authorization form or letter along with a copy of the legal document that designates power of attorney, guardianship or executor rights.

Example, if your provider maintains paper medical records, they own and have the right to keep the original record, but you have the right to see and get a copy of it.

The Kentucky Certificate of Need process prevents the proliferation of health care facilities, health services and major medical equipment that increases the cost of quality health care in the Commonwealth.

You may submit a letter identifying the records sought or complete and submit a Division of Health Care - Open Records Request Form. Please be sure to provide your name, address and daytime telephone number in the event we need to contact you. All requests for records must be signed by the requester.

The Cabinet for Health and Family Services is the state government agency that administers programs to promote the mental and physical health of Kentuckians and support Kentucky's families.

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Kentucky Sample Letter for Enclosure of Medical Reports