Letter to Request Medical Records

Dear [Healthcare Provider’s Name],

I hope this message finds you well. My name is Harvey Abbott, and I am writing to request a copy of my medical records under my care at your facility. As per my rights under the Health Insurance Portability and Accountability Act (HIPAA), I am entitled to access these records to ensure continuity of care and for personal record-keeping.

I have been a patient at your facility from [Start Date of Treatment] to [End Date of Treatment], and I am specifically looking for [specify any particular reports, diagnoses, test results, or type of information you are seeking, if applicable]. These records are crucial for my upcoming consultation with a new healthcare provider.

Please include all relevant documents, including but not limited to, doctor’s notes, imaging studies, lab results, and a list of medications prescribed during my treatment period.

I understand that there may be a standard fee for the copying and mailing of these records. Kindly inform me of the total cost beforehand, and I will arrange the payment accordingly. If there are any forms or formalities that need to be completed, please advise me on the same.

For your convenience, I have provided my contact details below. You can mail the documents to my address or, if available, send them via a secure electronic method.

[Your Full Name]
Harvey Abbott
[Your Address]
[City, State, ZIP Code]
[Your Phone Number]
[Your Email Address]

Thank you for your attention to this matter. I appreciate your prompt response and assistance in facilitating my request. Please do not hesitate to contact me if you require further information or clarification.

Warm regards,

Harvey Abbott

[Date]