San Diego California Sample Letter to Doctor Requesting Narrative Medical Report

• Category: Letters - Legal - Personal Injury
• State: Multi-State
• County: San Diego
• 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. [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Doctor's Name] [Doctor's Address] [City, State, ZIP] Dear Dr. [Doctor's Last Name], I hope this letter finds you well. I am writing to kindly request a narrative medical report for my medical records. As someone who resides in San Diego, California, I greatly value the importance of comprehensive medical documentation, and I believe a narrative report would provide a more detailed overview of my medical history. I have been under your care for the past [duration of treatment] for [brief description of medical condition]. During this time, we have developed a positive doctor-patient relationship, and I appreciate the exceptional care and expertise you have provided me. My purpose in requesting a narrative medical report is to have a comprehensive document summarizing my health status, diagnoses, treatments, and any ongoing medical issues. Having a narrative report in my possession will allow me to easily share my medical history with other healthcare providers when necessary. It will also serve as a crucial resource for insurance claims, disability applications, and other related processes that may require detailed information on my condition. To ensure the report includes all relevant and essential details, I would greatly appreciate it if you could cover the following areas: 1. Medical history: Please provide a comprehensive summary of my medical history, including any past illnesses, surgeries, hospitalizations, and chronic conditions. 2. Current diagnosis: Please describe my current medical condition, including the nature and severity of the illness. If applicable, include any recent test results or diagnostic procedures. 3. Treatment plan: Please outline the treatment plan prescribed to manage my condition. This should include medications, therapy, and any other recommended interventions. 4. Prognosis: If possible, provide an honest assessment of my long-term prognosis, including potential complications or improvements in my medical condition. 5. Functional limitations: It would be valuable to include any limitations or challenges I may face in my daily activities due to my medical condition. This could encompass physical, cognitive, or emotional restrictions. 6. Recommendations: If there are any specific measures or adjustments that can be made to enhance my quality of life or manage my condition more effectively, please include them in the report. I understand that preparing a narrative medical report requires time and effort on your part. Therefore, please indicate any fees associated with this service so that I may arrange for payment accordingly. I kindly request the completed report be mailed to me at the address provided above or emailed to [email address] within [reasonable time frame]. Thank you for your attention to this matter. I truly value your expertise and contribution to my healthcare journey. If you have any questions or require further information, please do not hesitate to contact me. Wishing you all the best. Sincerely, [Your Name]

[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Doctor's Name] [Doctor's Address] [City, State, ZIP] Dear Dr. [Doctor's Last Name], I hope this letter finds you well. I am writing to kindly request a narrative medical report for my medical records. As someone who resides in San Diego, California, I greatly value the importance of comprehensive medical documentation, and I believe a narrative report would provide a more detailed overview of my medical history. I have been under your care for the past [duration of treatment] for [brief description of medical condition]. During this time, we have developed a positive doctor-patient relationship, and I appreciate the exceptional care and expertise you have provided me. My purpose in requesting a narrative medical report is to have a comprehensive document summarizing my health status, diagnoses, treatments, and any ongoing medical issues. Having a narrative report in my possession will allow me to easily share my medical history with other healthcare providers when necessary. It will also serve as a crucial resource for insurance claims, disability applications, and other related processes that may require detailed information on my condition. To ensure the report includes all relevant and essential details, I would greatly appreciate it if you could cover the following areas: 1. Medical history: Please provide a comprehensive summary of my medical history, including any past illnesses, surgeries, hospitalizations, and chronic conditions. 2. Current diagnosis: Please describe my current medical condition, including the nature and severity of the illness. If applicable, include any recent test results or diagnostic procedures. 3. Treatment plan: Please outline the treatment plan prescribed to manage my condition. This should include medications, therapy, and any other recommended interventions. 4. Prognosis: If possible, provide an honest assessment of my long-term prognosis, including potential complications or improvements in my medical condition. 5. Functional limitations: It would be valuable to include any limitations or challenges I may face in my daily activities due to my medical condition. This could encompass physical, cognitive, or emotional restrictions. 6. Recommendations: If there are any specific measures or adjustments that can be made to enhance my quality of life or manage my condition more effectively, please include them in the report. I understand that preparing a narrative medical report requires time and effort on your part. Therefore, please indicate any fees associated with this service so that I may arrange for payment accordingly. I kindly request the completed report be mailed to me at the address provided above or emailed to [email address] within [reasonable time frame]. Thank you for your attention to this matter. I truly value your expertise and contribution to my healthcare journey. If you have any questions or require further information, please do not hesitate to contact me. Wishing you all the best. Sincerely, [Your Name]