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I would like to state that I got admitted/ treatment for (Mention) on // (Date). I am writing this letter to request you for issuance of (Inform what record you want). As per hospital guidelines, I request you to issue a copy of my medical records. I need this for (Reason).

To write a letter of request, start by greeting the recipient with Dear, followed by the person's last name and title, or To Whom It May Concern. Then, briefly explain who you are and why you're writing in the 1st paragraph. Next, provide additional context and details about your request in the 2nd paragraph.

You may be able to request your record through your provider's patient portal. You may have to fill out a form called a health or medical record release form send an email, or mail or fax a letter.

For immediate continuity of care, your healthcare provider can request records. The physician office must fax a written request on their letterhead to (877) 865-9738 indicating the patient's name, date of birth and date of visit in the facility. For assistance call (866) 270-2311.

RCH is among the busiest emergency departments and is one of 10 Level 1 designated trauma centers in Southern California. The level 1 accreditation is the highest level a hospital trauma center can receive.

Identification and Characteristics Name and Address:Riverside Community Hospital 4445 Magnolia Avenue Riverside, CA 92501Total Staffed Beds:478Total Patient Revenue:$6,029,221,360Total Discharges:22,856Total Patient Days:126,0319 more rows

Online Access to Your Health Information Check with your health care providers or doctors to see if they offer online access to your medical records. Terms sometimes used to describe electronic access to these data include personal health record, or PHR, or patient portal.

How to Request Your Medical Records. Most practices or facilities will ask you to fill out a form to request your medical records. This request form can usually be collected at the office or delivered by fax, postal service, or email. If the office doesn't have a form, you can write a letter to make your request.

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.

I was treated in your office at your facility between fill in dates. I request copies of the following or all health records related to my treatment. Identify records requested, e.g. medical history form you provided; physician and nurses' notes; test results, consultations with specialists; referrals.

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Riverside California Sample Letter to Doctor Requesting Narrative Medical Report

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