New Hampshire Sample Letter for Enclosure of Medical Reports

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

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

Sample Letter for Enclosure of Medical Reports — New Hampshire Workers' Compensation Claim [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Date] [Recipient's Name] [Recipient's Designation] [Company Name] [Company Address] [City, State, ZIP] Subject: Enclosure of Medical Reports — [Claimant's Name], Claim Number [Claim Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to enclose the necessary medical reports and documentation regarding the ongoing workers' compensation claim for [Claimant's Name] (Claim Number: [Claim Number]). Please find the enclosed documents as follows: 1. [Medical Report #1]: This comprehensive medical report has been prepared by Dr. [Doctor's Name], outlining a detailed evaluation of [Claimant's Name]'s medical condition following the workplace incident. The report includes diagnostics, examinations, treatment plans, and prognosis. 2. [Medical Report #2]: The supplementary medical report, conducted by Dr. [Doctor's Name], provides an additional medical assessment in light of [Claimant's Name]'s progress after the initial examination. It covers any changes, improvements, or complications since the previous report. 3. [Medical Test Results]: Enclosed are the results of various tests and analyses conducted for [Claimant's Name]. These test results include X-rays, MRI scans, blood tests, and any other relevant investigations highlighting the extent of the injuries sustained. 4. [Prescription Medications]: Attached are the prescribed medications as prescribed by Dr. [Doctor's Name]. This document lists the medications, dosages, frequency, and their intended purposes within the recovery process. 5. [Therapy Reports]: The enclosed therapy reports, completed by licensed therapists [Therapist's Name(s)], summarize the treatments, sessions attended, and any progress observed following the recommended therapy plan. 6. [Specialist Consultations]: Attached is a document summarizing any consultations or referrals with specialists related to [Claimant's Name]'s case, such as orthopedists, neurologists, and psychologists. These reports provide additional insights and expert opinions on the injuries sustained. Please note that the above-mentioned documents are in compliance with the requirements outlined by the New Hampshire Workers' Compensation Board. These reports and records represent the most recent and relevant medical information concerning [Claimant's Name]'s injuries sustained from the workplace incident. Should you require any further documentation or information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. I kindly request that you acknowledge the receipt of these enclosed medical reports by signing and returning the enclosed copy of this letter. Thank you for your prompt attention to this matter. We trust that these comprehensive medical records will assist in the proper evaluation of the workers' compensation claim for [Claimant's Name]. We look forward to a fair and just resolution. Sincerely, [Your Name] Enclosure: [Number of Enclosures] cc: [Claimant's Name]

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FAQ

An enclosure notation--Enclosure:, Encl., or Enc. --alerts the recipient that additional material (such as a resume or a technical article) is included with the letter. You can either identify the enclosure or indicate how many pieces there are.

Steps for writing an enclosure Make a list of what each document is (Ex: resume, references, etc.). Write your cover letter. Under your name at the end of the letter, skip two lines. On the third line, write "Enclosure:" or "Enclosures:" if there are multiple documents.

"Please find enclosed? is the exact same as "please find attached.? The only difference is the last word. Some writers might stress that nothing can be "enclosed? in an email, since an email isn't an envelope. Thus the correct term would be "attached.?

Updated June 22, 2023. Knowing how to cite enclosures is an important skill for people who write business letters as a part of their jobs. In business letters, enclosures are additional documents that you add to or include with the letter when you send it.

Under your name at the end of the letter, skip two lines. On the third line, write "Enclosure:" or "Enclosures:" if there are multiple documents. Skip a line after "Enclosures:" and then begin your list of enclosures. Put each enclosed document title on its own line.

More info

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New Hampshire Sample Letter for Enclosure of Medical Reports