You are here: Home Managing Your ... Medical Records ... Sample Letter ...
Information about all aspects of finances affected by a serious health condition. Includes income sources such as work, investments, and private and government disability programs, and expenses such as medical bills, and how to deal with financial problems.
Information about all aspects of health care from choosing a doctor and treatment, staying safe in a hospital, to end of life care. Includes how to obtain, choose and maximize health insurance policies.
Answers to your practical questions such as how to travel safely despite your health condition, how to avoid getting infected by a pet, and what to say or not say to an insurance company.

Sample Letter Requesting A Copy Of Your Medical Records


Sample Letter



Dr. Michael Perez

331 W. 43rd St.

New York, NY 10029

Attn: Beth Wright, Medical Records Department

Re: Medical records request

Dear Ms Wright,

Per our telephone conversation, I am requesting a copy of my medical records. I am specifically requesting all doctor's notes, lab tests and x-ray reports from December 1998 to the present.

I will be moving in six weeks and wish to supply my new physician with my medical information. (This sentence is optional, as you do not have to provide a reason for your request. You may be requesting the records for many reasons, ranging from acquiring a second opinion to insurance purposes). Please mail the records as soon as possible to.

Dr. Norma Jean Wilson

861 Strathmore Avenue.

Baltimore, MD 21215

Please send me a copy of your cover note for my file.

Thank you for your assistance.




Signature (include full name, no notarization required)

Please share how this information is useful to you. 0 Comments


Post a Comment Have something to add to this topic? Contact Us.

Characters remaining:

  • Allowed markup: <a> <i> <b> <em> <u> <s> <strong> <code> <pre> <p>
    All other tags will be stripped.