Formal Sample Letter Requesting the Transfer of Medical Records from One Doctor to Another

| January 23, 2013 | 0 Comments

This sample letter requesting the transfer of medical records from one doctor to another is designed to help you get your medical records transferred to a new doctor. The letter needn’t be a long one, just a short note requesting that your records be transferred and thanking the sender for their cooperation. There is one slight difference to a standard letter in that you must create a space to sign and date the letter in the body in addition to your normal signature so that it satisfies legal requirements. To compose such a letter quickly and efficiently, use our sample letter requesting the transfer of medical records from one doctor to another.

How to Best Use Our Sample Letter Requesting the Transfer of Medical Records from One Doctor to Another

You’ll make the best use of our sample letter requesting the transfer of medical records from one doctor to another if you understand its structure and format. We use the block style which aligns all of the text to the left. This gives your letter a professional appearance, and makes it easy to edit. With a bit of cutting and pasting you can quickly replace the contents of our sample letter requesting the transfer of medical records from one doctor to another with that of your own.

Complete Sample Letter Requesting the Transfer of Medical Records from One Doctor to Another

Mr. Mark Thompson

42 Stonewall Dr.

Atlanta, GA 00-77543

Tel: 802-991-4463

Email: mthompson@email.com

 April 17, 2005

 Dr. Stanley Clark

88 Main St.Birmingham, AL 412003

 Dear Dr. Clark,

 After living more than seven years in Atlanta, I will be moving to Birmingham, Alabama next month to be closer to my elderly parents. I am therefore asking to have my medical records transferred to the doctor who will be overseeing my treatment in Birmingham.

 I hereby authorize Dr. Stanley Clark to release to Dr. Alexander Zaandam a copy of the complete set of my medical records in his possession.

Please send the files to:

            Dr. Alexander Zaandam

            99 Health St., Birmingham, AL 412003

812-444-5555

__________________                  _______________________

(Your name printed)                           (Your signature)

_____________________                  _______________________

(Date)                                                  (Patient ID)

 

Sincerely,

 

Mark Thompson

Tips and Useful Sentences You Can Use with our Sample Letter Requesting the Transfer of Medical Records from One Doctor to Another:

  • Collecting the records yourself and delivering them to your new doctor in person will save you money.
  • Check with your new doctor first to find out exactly what records they need.
  • Check to see if your records can be digitally transferred.

Category: Requesting Information Letter Examples

About the Author ()

Melanie Walters is a writer and editor for several businesses both online and offline. Her experience with writing business letters and marketing materials has helped her understand exactly what works in written communication for businesses. In the 10 years she's been writing, Melanie has amassed a large collection of letter examples that she gladly shares with you here on Letter Example Help.org

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