Pennsylvania Sample Letter for Enclosure of Medical Reports
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How to fill out Sample Letter For Enclosure Of Medical Reports?
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FAQ
If you have enclosed any documents along with the letter, such as a resume, you indicate this simply by typing Enclosures below the closing. As an option, you may list the name of each document you are including in the envelope.
Enclosures If you have any enclosed documents, such as a resume, you can indicate this by typing ?Enclosures? one line below the listing. You also may include the name of each document.
The absolute simplest way to format your letter is just to write "Enclosures" followed by the number of them in parentheses. So, for example, if you were sending a product brochure and three photos, your notation would read "Enclosures (4)."
Under your name and title, type ?Enclosure:? or ?Attachment:? to indicate that you've included additional documents. On the next line, provide a brief description of the contents.
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. Skip a line after "Enclosures:" and then begin your list of enclosures.
I am writing on behalf of my patient, [PATIENT NAME], to [REQUEST PRIOR AUTHORZATION/DOCUMENT MEDICAL NECESSITY] for treatment with [INSERT PRODUCT]. The [PATIENT NAME] has a diagnosis of [DIAGNOSIS] and needs treatment with [INSERT PRODUCT], and that [INSERT PRODUCT] is medically necessary for [him/her] as prescribed.
This includes a brief description of the patient's diagnosis, the severity of the patient's condition, prior treatments, the duration of each, responses to those treatments, the rationale for discontinuation, as well as other factors (eg underlying health issues, age) that have affected your treatment selection].
The enclosure is typically mentioned at the end of the letter, after the closing, and is indicated by the word "Enclosure" or "Enclosures" followed by the number of documents included. For example, "Enclosure: 1 resume" or "Enclosures: 2 writing samples, 1 reference list." Make your move!