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Request Letter to Government Authority

Medical Records

This is a letter of request to a government authority for medical records. The purpose of the request may be of various reasons that requires verification of one's identity.

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01

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02

Fill Information

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03

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04

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Document Description

The document titled 'Request Letter to Government Authority' is a formal letter written by an individual to a government authority requesting copies of their medical records. The importance of this document lies in the fact that it allows individuals to access their own medical information, which is crucial for various reasons such as personal health management, second opinions, legal purposes, and continuity of care.

 

The entire document consists of a header section, a salutation, the main body, and a closing. The header section includes the account holder's first name, last name, address, phone number, and email. The salutation addresses the recipient as 'Dear Sir or Madam' and includes a reference number for the request. The main body of the letter explains the purpose of the request, which is to obtain copies of the account holder's medical records from a specific clinic. The account holder specifies the desired content of the records, including charts, test results, consultation notes, and referrals. The account holder also acknowledges the possibility of being charged a reasonable fee for copying and postage.

 

Each section of the document serves a specific purpose. The header section provides the necessary contact information for the account holder. The salutation establishes a formal tone and addresses the recipient respectfully. The main body clearly states the purpose of the letter, provides relevant details such as the time period of treatment, and specifies the requested content of the medical records. The closing expresses gratitude for the recipient's consideration and provides additional contact information for further communication.

 

In summary, the 'Request Letter to Government Authority' is a document that enables individuals to request copies of their medical records from a government authority. It is important for personal health management and various other purposes. The document consists of a header section, a salutation, the main body, and a closing, each serving a specific purpose in conveying the request effectively.

How to use this document?


1. Enter personal information: Fill in your first name, last name, address, phone number, and email in the header section of the letter.

2. Address the recipient: Begin the letter with a formal salutation, addressing the recipient as 'Dear Sir or Madam'. Include a reference number for the request.

3. State the purpose: Clearly state the purpose of the letter in the main body, which is to request copies of your medical records from a specific clinic.

4. Specify desired content: Specify the content you want included in the records, such as charts, test results, consultation notes, and referrals.

5. Acknowledge potential fees: Acknowledge that you may be charged a reasonable fee for copying the records and postage.

6. Express gratitude and provide contact information: Close the letter by expressing gratitude for the recipient's consideration and providing your phone number and email for further communication.

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