Sample Authorization to Release Medical records Letter

Sub – [Patient name whose records are being requested]   Date of Birth – […] Social Security Number – [,,,,] To: [Doctor’s name]   I hereby give my approval to [receiver of medical records] or their representative to check, evaluate, and make copies of the medical, psychiatric, alcohol and/or drug cure records, related to the … Read more

Sample Authorization to Release Medical Records Letter

Authorization to Release Medical Records – MEDICAL APPROVAL TO:  [Doctor’s Name] RE:  [Patient’s Name]   You are hereby authorized to provide [Name & address of person to receive medical records] with copies of any medical tests & exams conducted by you for the patient mentioned above.Please do not disclose any information to any person without … Read more

Sample Letter to Authorizing Medical Treatment for Father

In case you are not available and you want to authorize someone else to take care of the medical treatment of your father then for that purpose you are supposed to write an authorization letter. This kind of a letter gives the authority to the mentioned person to take decisions in relation with medical treatment … Read more

How to Write an Intervention Letter with Example

An intervention is a when a loved one or family member of a drug addict meet with them to communicate about how their addiction has affected their and every one else’s life around them and why they should seek a treatment for their addiction. It is a very emotional and time-consuming process and so many … Read more

Sample Authorization to Release Employment Records Letter

Sub – [Patient’s name whose records are being requested]   Date of Birth – [….] Social Security Number  –  [no.  Here]   To: [Doctor’s name]   I hereby give permission to [individual/association name to receive medical records] or their agent for checking, evaluating and making facsimiles of all the medical, mental, psychiatric, alcohol and/or drug … Read more

Sample Authorization to Release Employment Records Letter

Sub – [Employee name, records are being requested for] Date of Birth:  –   […] Social Security Number: [no. here]   To: [Designation] [Company name] I hereby give permission to [organization’s name] or their representative to examine, analyze, and create copies (including photo static copies) of all staff, job, medical and payroll records related to [employee … Read more

Sample Authorization Letter

Hospital or Doctor’s Name: Address: Date: To Whomsoever It May Concern: I, (Patient Name), hereby authorize (Hospital’s Name) to release to (Person’s Name or Name of the Doctor with his designation), any information in my personal medical records, reports and any other information relevant to my cure while I am under the care of (Hospital’s … Read more