West Virginia Sample Letter for Request for Medical Records

State:
Multi-State
Control #:
US-0546LR
Format:
Word; 
Rich Text
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Description

Sample Letter for Request for Medical Records

How to fill out Sample Letter For Request For Medical Records?

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FAQ

The average minimum requirement is five years; however, some Medicare/Medicaid audits and/or actions can occur up to ten years after treatment and/or billing has occurred. Statutory or Regulatory Requirements: Several state and federal regulations and rules may affect medical record retention periods.

We are required by law to allow you access to your medical record. If you wish to see your records, please contact the surgery for further advice. All requests to view your records should be made in writing to the practice. Your GP has a duty to keep your medical record accurate and up to date.

To obtain medical records, you may now request your records by using the records request tool, through MyWVUChart, email, mail, or calling 304-598-4110 (or toll free 844-484-0304).

If the patient wrote a personal letter requesting records, make sure the following patient information was in the original request:Date of birth.Name.Social Security number.Contact information (address and phone number)Email address.Dates of service and specific records requested (tests, discharge notes, etc.)More items...

What information should be included in a patient's medical records?The initial health history and physical examination from the doctor.Consultation reports from specialists, as well as any notes.Operative reports / Medical procedure reports.More items...?

To obtain records, a patient, his or her personal representative as defined by HIPAA, or his or her authorized agent or authorized representative must submit a written request with the health care provider. The provider must furnish a copy of the records within 30 days of receiving the request.

Before you write a request letter, one should know to whom the letter is addressed....Here is the simple format of the request letter:Date.Recipient Name, designation and address.Subject.Salutation (Dear Sir/Mam, Mr./Mrs./Ms.)Body of the letter.Gratitude.Closing the letter (Your's Sincerely)Your Name and Signature.

State law requires many health care providers to keep your medical record for a specific period of time. For example, West Virginia hospitals must keep your medical records for at least five years after your last treatment. In practice, many health care providers keep their medical records longer.

The subject line of your request should be "FOIL Request". Please inform me of the cost of providing paper copies of the following records include as much detail about the records as possible, including relevant dates, names, descriptions, etc..

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West Virginia Sample Letter for Request for Medical Records