San Antonio Texas Sample Letter for Request for Patient Medical Records

• Category: Letters - Nonlegal - Medical
• State: Multi-State
• City: San Antonio
• Control #: US-0328LR
• 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 Patient Medical Records from San Antonio, Texas Dear [Hospital/Clinic/Administrator], I hope this letter finds you in good health and high spirits. I am writing to request the medical records of [patient's full name], who was under the care of your esteemed facility in San Antonio, Texas. First and foremost, I would like to express my gratitude for the quality care and attention that [patient's name] received during their stay at your hospital/clinic. As their caregiver/family member/authorized representative, it is crucial for me to have a complete record of their medical history to ensure their ongoing healthcare needs are met with accuracy and efficiency. To facilitate the continuity of care for [patient's name], I kindly request that you provide me with the following patient medical records: 1. Admission and discharge summary: This document will provide an overview of the diagnosis, treatment plan, and progress made during the period of hospitalization. 2. Laboratory and diagnostic test results: Please include all lab reports, radiology scans, pathology results, and any other pertinent diagnostic tests conducted during the time [patient's name] was under your care. 3. Physician's notes and progress reports: I would appreciate having access to detailed notes and progress reports made by the attending physician(s) during the treatment process, including updates on medications, procedures performed, and any significant changes or improvements in [patient's name]'s condition. 4. Surgical/Operative reports: If [patient's name] underwent any surgical procedures during their stay, please provide the surgical reports, including preoperative and post-operative notes, anesthesia records, and any associated documentation. 5. Medication and prescription records: To ensure the accuracy of [patient's name]'s current medication regimen, I kindly request a detailed list of all prescribed medications, including dosages, duration, and any changes made during their time at your facility. 6. Nursing and therapy notes: Please include any relevant records pertaining to nursing assessments, care plans, and therapy sessions (e.g., physical, occupational, or speech therapy) that [patient's name] may have undergone during their stay. 7. Consultation and specialty reports: If [patient's name] was referred to any specialists or consultants, I kindly request copies of their reports or recommendations related to [patient's name]'s condition. To ensure a smooth process, kindly provide these records in both physical and electronic formats, if available. I understand that there may be associated fees for the preparation and delivery of these records, and I am ready to pay any reasonable charges promptly. Finally, please inform me of the appropriate timeframe within which I can expect to receive the requested records. If there are any additional forms or documents that need to be completed before the release of the medical records, kindly let me know, and I will promptly fulfill all necessary requirements. Thank you for your attention to this matter. Your cooperation in providing these medical records is crucial for the proper care and ongoing treatment of [patient's name]. Should you require any further information, please do not hesitate to contact me at [your contact information]. With sincere appreciation, [Your Name] [Your Relationship to the Patient] [Your Contact Information]

Subject: Request for Patient Medical Records from San Antonio, Texas Dear [Hospital/Clinic/Administrator], I hope this letter finds you in good health and high spirits. I am writing to request the medical records of [patient's full name], who was under the care of your esteemed facility in San Antonio, Texas. First and foremost, I would like to express my gratitude for the quality care and attention that [patient's name] received during their stay at your hospital/clinic. As their caregiver/family member/authorized representative, it is crucial for me to have a complete record of their medical history to ensure their ongoing healthcare needs are met with accuracy and efficiency. To facilitate the continuity of care for [patient's name], I kindly request that you provide me with the following patient medical records: 1. Admission and discharge summary: This document will provide an overview of the diagnosis, treatment plan, and progress made during the period of hospitalization. 2. Laboratory and diagnostic test results: Please include all lab reports, radiology scans, pathology results, and any other pertinent diagnostic tests conducted during the time [patient's name] was under your care. 3. Physician's notes and progress reports: I would appreciate having access to detailed notes and progress reports made by the attending physician(s) during the treatment process, including updates on medications, procedures performed, and any significant changes or improvements in [patient's name]'s condition. 4. Surgical/Operative reports: If [patient's name] underwent any surgical procedures during their stay, please provide the surgical reports, including preoperative and post-operative notes, anesthesia records, and any associated documentation. 5. Medication and prescription records: To ensure the accuracy of [patient's name]'s current medication regimen, I kindly request a detailed list of all prescribed medications, including dosages, duration, and any changes made during their time at your facility. 6. Nursing and therapy notes: Please include any relevant records pertaining to nursing assessments, care plans, and therapy sessions (e.g., physical, occupational, or speech therapy) that [patient's name] may have undergone during their stay. 7. Consultation and specialty reports: If [patient's name] was referred to any specialists or consultants, I kindly request copies of their reports or recommendations related to [patient's name]'s condition. To ensure a smooth process, kindly provide these records in both physical and electronic formats, if available. I understand that there may be associated fees for the preparation and delivery of these records, and I am ready to pay any reasonable charges promptly. Finally, please inform me of the appropriate timeframe within which I can expect to receive the requested records. If there are any additional forms or documents that need to be completed before the release of the medical records, kindly let me know, and I will promptly fulfill all necessary requirements. Thank you for your attention to this matter. Your cooperation in providing these medical records is crucial for the proper care and ongoing treatment of [patient's name]. Should you require any further information, please do not hesitate to contact me at [your contact information]. With sincere appreciation, [Your Name] [Your Relationship to the Patient] [Your Contact Information]