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Medical Records Release Letter
"I need a Medical Records Release Letter to authorize the transfer of my complete medical history from London General Hospital to Dr. Smith at Manchester Clinic for ongoing treatment of a chronic condition, with records to be transferred by March 2025."
1. Patient Information: Full name, date of birth, address, NHS number of the patient whose records are being requested
2. Requestor Details: If different from patient, including relationship to patient and proof of authority to request records
3. Healthcare Provider Details: Name and address of the healthcare provider holding the records
4. Records Specification: Detailed specification of which records are being requested, including relevant date ranges
5. Purpose of Release: Clear statement of the purpose for requesting the medical records
6. Consent Statement: Express authorization for the release of medical records, including GDPR compliance statement
1. Urgency Statement: Optional section to be included when records are needed by a specific date or for urgent medical care
2. Third Party Authorization: To be included when records are to be sent to a third party, such as another healthcare provider or legal representative
3. Specific Exclusions: Section specifying any particular records that should be excluded from the release
1. Identification Documents: Copies of required identification documents for patient/requestor
2. Proof of Authority: Documentation proving authority to request records (Power of Attorney, Court Order, etc.)
3. Previous Correspondence: Copies of any relevant previous communication regarding the records request
Authors
Medical Records
Healthcare Provider
Personal Data
Special Category Data
Authorized Representative
Consent
Data Controller
Data Subject
Healthcare Record
Confidential Information
Clinical Information
Protected Health Information
Release Authorization
Third Party Recipient
Treatment Dates
Electronic Health Record
NHS Number
Power of Attorney
Subject Access Request
Authorization
Consent
Confidentiality
Information Release Scope
Duration of Authorization
Purpose of Disclosure
Rights of Revocation
Record Handling
Third Party Disclosure
Data Security
Information Accuracy
Patient Rights
Time Limits
Fees and Charges
Jurisdiction
Verification
Records Delivery Method
Liability
Access Restrictions
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