Nassau New York Sample Letter for Enclosure of Medical Reports

• Category: Letters - Legal - Workers Compensation
• State: Multi-State
• County: Nassau
• Control #: US-0950LTR
• 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 Enclosure of Medical Reports — [Patient Name] [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipients Name] [Recipients Position] [Medical Facility Name] [Medical Facility Address] [City, State, ZIP Code] Dear [Recipients Name], I hope this letter finds you in good health. I am writing to kindly request the enclosure of medical reports pertaining to [Patient's Name], who is currently under your care at [Medical Facility Name]. These reports are crucial for our medical records and necessary for further treatment planning. Patient details: — Full Name: [Patient's Name— - Date of Birth: [Patient's Date of Birth] — Medical Record Number: [PatienMANNRN] As a responsible caregiver and concerned party, I genuinely believe that an accurate and comprehensive medical history plays a vital role in ensuring the best care for individuals. Therefore, I would greatly appreciate your assistance in compiling and providing me with the following medical reports: 1. Initial Consultation: A detailed summary of the patient's initial consultation, including relevant medical history, diagnostic tests, and initial treatment recommendations. 2. Diagnostic Tests: Copies of all diagnostic tests performed, such as X-rays, MRI scans, blood tests, or any other relevant tests or procedures. 3. Laboratory Reports: Complete laboratory reports indicating blood work, urinalysis, or any other relevant tests performed during the course of treatment. 4. Imaging Results: Results and images from any diagnostic imaging studies conducted, including X-rays, CT scans, ultrasounds, or MRI scans. 5. Specialist Consultation: Reports or notes from any specialized consultations or referrals made regarding the patient's condition, along with any associated treatment plans or recommendations. 6. Surgical Reports: If the patient underwent any surgical procedures, please provide the surgical reports, including pre-operative assessments, operative procedures, and post-operative progress notes. 7. Medication History: A thorough record of all medications prescribed to the patient, including dosage, frequency, and duration of use. Ensuring the completeness of our medical records is of utmost importance for the well-being and ongoing care of [Patient's Name]. Please include certified copies of the enclosed medical reports with this letter or provide instructions on how I can obtain them directly from your facility. I understand that this request may require time and effort, and I sincerely appreciate your cooperation in this matter. Should there be any associated fees or administrative processes required, kindly let me know in advance, and I will promptly address them. Thank you for your attention to this matter. Your assistance will significantly contribute to the continuity and quality of [Patient's Name]'s medical care. Please feel free to contact me at [Your Phone Number] or [Your Email Address] should you require further information or if there are any concerns you may have. Wishing you and your team continued success in providing exceptional healthcare services. Sincerely, [Your Name]

Subject: Request for Enclosure of Medical Reports — [Patient Name] [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipients Name] [Recipients Position] [Medical Facility Name] [Medical Facility Address] [City, State, ZIP Code] Dear [Recipients Name], I hope this letter finds you in good health. I am writing to kindly request the enclosure of medical reports pertaining to [Patient's Name], who is currently under your care at [Medical Facility Name]. These reports are crucial for our medical records and necessary for further treatment planning. Patient details: — Full Name: [Patient's Name— - Date of Birth: [Patient's Date of Birth] — Medical Record Number: [PatienMANNRN] As a responsible caregiver and concerned party, I genuinely believe that an accurate and comprehensive medical history plays a vital role in ensuring the best care for individuals. Therefore, I would greatly appreciate your assistance in compiling and providing me with the following medical reports: 1. Initial Consultation: A detailed summary of the patient's initial consultation, including relevant medical history, diagnostic tests, and initial treatment recommendations. 2. Diagnostic Tests: Copies of all diagnostic tests performed, such as X-rays, MRI scans, blood tests, or any other relevant tests or procedures. 3. Laboratory Reports: Complete laboratory reports indicating blood work, urinalysis, or any other relevant tests performed during the course of treatment. 4. Imaging Results: Results and images from any diagnostic imaging studies conducted, including X-rays, CT scans, ultrasounds, or MRI scans. 5. Specialist Consultation: Reports or notes from any specialized consultations or referrals made regarding the patient's condition, along with any associated treatment plans or recommendations. 6. Surgical Reports: If the patient underwent any surgical procedures, please provide the surgical reports, including pre-operative assessments, operative procedures, and post-operative progress notes. 7. Medication History: A thorough record of all medications prescribed to the patient, including dosage, frequency, and duration of use. Ensuring the completeness of our medical records is of utmost importance for the well-being and ongoing care of [Patient's Name]. Please include certified copies of the enclosed medical reports with this letter or provide instructions on how I can obtain them directly from your facility. I understand that this request may require time and effort, and I sincerely appreciate your cooperation in this matter. Should there be any associated fees or administrative processes required, kindly let me know in advance, and I will promptly address them. Thank you for your attention to this matter. Your assistance will significantly contribute to the continuity and quality of [Patient's Name]'s medical care. Please feel free to contact me at [Your Phone Number] or [Your Email Address] should you require further information or if there are any concerns you may have. Wishing you and your team continued success in providing exceptional healthcare services. Sincerely, [Your Name]