________
________
________
________
________
Dear ________,
RE: REQUEST FOR MEDICAL RECORDS
I am a current patient at ________, and my patient ID/ health card number is ________, and I am writing to request my medical records from your practice. I am requesting my medical records to obtain a second opinion from another healthcare provider.
In particular, I am specifically requesting for the following documents:
________
My details are as follows:
Patient Name: ________
Patient Address: ________
Patient Date of Birth: ________
I understand that there may be fees associated with providing these records. Please inform me of any charges in advance and provide details on how to process the payment. Additionally, I would appreciate it if you could let me know the estimated timeframe for processing this request. If you have any questions or require more information about my request, please contact me by phone - ________, or by email - ________.
55522 225 82 5585282 225 2255 252222 522222822 22 2588 252225 525 2255 82222552822. 5 5252582525 252 8222525282 22 282282 588288 22 2258858 5282558 525 5225288522 2255 5888825282 82 252885822 252 228288552 82225252822.
82558 882825282,
___________________
________
________
________
________
________
________
Dear ________,
RE: REQUEST FOR MEDICAL RECORDS
I am a current patient at ________, and my patient ID/ health card number is ________, and I am writing to request my medical records from your practice. I am requesting my medical records to obtain a second opinion from another healthcare provider.
In particular, I am specifically requesting for the following documents:
________
My details are as follows:
Patient Name: ________
Patient Address: ________
Patient Date of Birth: ________
I understand that there may be fees associated with providing these records. Please inform me of any charges in advance and provide details on how to process the payment. Additionally, I would appreciate it if you could let me know the estimated timeframe for processing this request. If you have any questions or require more information about my request, please contact me by phone - ________, or by email - ________.
55522 225 82 5585282 225 2255 252222 522222822 22 2588 252225 525 2255 82222552822. 5 5252582525 252 8222525282 22 282282 588288 22 2258858 5282558 525 5225288522 2255 5888825282 82 252885822 252 228288552 82225252822.
82558 882825282,
___________________
________
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