Oklahoma Sample Letter to Doctor Requesting Narrative Medical Report

• Category: Letters - Legal - Personal Injury
• State: Multi-State
• Control #: US-0533LTR
• Format: Word; Rich Text

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. Subject: Request for Narrative Medical Report — Oklahoma - [Patient Name, Date of Birth] Dear Dr. [Doctor's Last Name], I hope this letter finds you in good health. I am writing to kindly request your assistance in providing a comprehensive Narrative Medical Report regarding the health condition and medical history of my patient, [Patient Name], who resides in [City/State], Oklahoma. The primary purpose of this report is to support [Patient Name]'s ongoing medical care, treatment, and legal documentation needs. As a medical professional, your expertise is invaluable in ensuring accurate and detailed information is accessible for assessing my patient's current health status and any relevant pre-existing conditions. Thus, I kindly request a thorough narrative outlining the following key aspects: 1. Personal and Medical Details: — Full name, date of birth, gender, and contact information of the patient. — Detailed medical history, including major illnesses, surgeries, hospitalizations, and current medications. — Any known allergies or reactions to medications. 2. Chronological Progression: — Provide a chronology of significant health events, beginning with the initial diagnosis. — Outline the patient's overall health condition, variations, and improvements over time. — Detail any treatment plans and their effectiveness, including pharmaceuticals, therapies, and surgeries. 3. Diagnostic Tests: — List and interpret all relevant diagnostic tests performed to assess the patient's condition accurately. — Explain the results of laboratory tests, radiology scans, biopsies, or other diagnostic procedures conducted. 4. Current Health Status: — Describe the patient's current health status, outlining both physical and mental well-being. — Evaluate the patient's functional limitations or disabilities, if applicable. — Discuss any ongoing symptoms, pain levels, or impairment affecting daily living activities. 5. Prognosis and Recommendations: — Provide a professional assessment of the long-term prognosis for the patient's condition. — Offer recommendations for recommended treatment modalities, therapies, or specialist consultations. — Address the potential impact of the patient's condition on their ability to work or engage in regular activities. Additionally, I kindly request that the Narrative Medical Report be typed on your professional letterhead, dated, and signed. This report is of utmost importance for legal purposes and will be treated with the strictest confidentiality. If there are any costs associated with preparing the report, please inform me in advance, and I will be happy to cover them. Thank you sincerely for your attention to this matter. Your prompt response is greatly appreciated. Please feel free to reach me at [Your Contact Information] or via email at [Your Email Address] should you require any further details or clarification. Thank you for your unwavering commitment to providing excellent medical care to your patients. Yours sincerely, [Your Name] [Your Title/Organization] [Your Contact Information]

Subject: Request for Narrative Medical Report — Oklahoma - [Patient Name, Date of Birth] Dear Dr. [Doctor's Last Name], I hope this letter finds you in good health. I am writing to kindly request your assistance in providing a comprehensive Narrative Medical Report regarding the health condition and medical history of my patient, [Patient Name], who resides in [City/State], Oklahoma. The primary purpose of this report is to support [Patient Name]'s ongoing medical care, treatment, and legal documentation needs. As a medical professional, your expertise is invaluable in ensuring accurate and detailed information is accessible for assessing my patient's current health status and any relevant pre-existing conditions. Thus, I kindly request a thorough narrative outlining the following key aspects: 1. Personal and Medical Details: — Full name, date of birth, gender, and contact information of the patient. — Detailed medical history, including major illnesses, surgeries, hospitalizations, and current medications. — Any known allergies or reactions to medications. 2. Chronological Progression: — Provide a chronology of significant health events, beginning with the initial diagnosis. — Outline the patient's overall health condition, variations, and improvements over time. — Detail any treatment plans and their effectiveness, including pharmaceuticals, therapies, and surgeries. 3. Diagnostic Tests: — List and interpret all relevant diagnostic tests performed to assess the patient's condition accurately. — Explain the results of laboratory tests, radiology scans, biopsies, or other diagnostic procedures conducted. 4. Current Health Status: — Describe the patient's current health status, outlining both physical and mental well-being. — Evaluate the patient's functional limitations or disabilities, if applicable. — Discuss any ongoing symptoms, pain levels, or impairment affecting daily living activities. 5. Prognosis and Recommendations: — Provide a professional assessment of the long-term prognosis for the patient's condition. — Offer recommendations for recommended treatment modalities, therapies, or specialist consultations. — Address the potential impact of the patient's condition on their ability to work or engage in regular activities. Additionally, I kindly request that the Narrative Medical Report be typed on your professional letterhead, dated, and signed. This report is of utmost importance for legal purposes and will be treated with the strictest confidentiality. If there are any costs associated with preparing the report, please inform me in advance, and I will be happy to cover them. Thank you sincerely for your attention to this matter. Your prompt response is greatly appreciated. Please feel free to reach me at [Your Contact Information] or via email at [Your Email Address] should you require any further details or clarification. Thank you for your unwavering commitment to providing excellent medical care to your patients. Yours sincerely, [Your Name] [Your Title/Organization] [Your Contact Information]