Medical Records Request Letter: How To Draft It Right!

Use our sample medical records request letter as a template for your letter.

You may also like:

The need to access your medical records could arise for numerous reasons, such as transferring care to a new doctor or seeking a second opinion. Irrespective of the reason, knowing how to write a medical records request letter is imperative. 

🔥 Trending

In this guide, we’ll break down how to request medical records in writing, ensuring you can confidently pen a letter that gets the desired response.

1. Start with the Basics: The Header

  • Recipient Details: Address the letter to the doctor or hospital department holding your records. For instance, “Attn: Records Department, XYZ Hospital.”
  • Your Details: Include your full name, date of birth, and contact information.
  • Date: This ensures there’s a timestamp on your request.

2. Begin with a Formal Salutation

  • “Dear Dr. Smith,” or “To whom it may concern,” if you’re unsure of the specific person.

3. State Your Request Clearly

Begin your medical request letter by clearly expressing your intent. For example:

“I am writing to request a copy of my medical records…”

Mention specifics such as the dates of treatment or any particular information you require.

4. Justify the Need (If Necessary)

Although not always needed, you might feel the necessity to explain why you’re making this request. Maybe you’re transferring to another state or seeking an expert’s second opinion.

5. Specify the Format

Do you prefer a digital copy or a printed one? Your letter should clearly mention your preferred format.


“I would appreciate if the records could be provided in a digital format, preferably a PDF.”

6. Address Any Fees

It’s common for hospitals to charge a fee for providing medical records. Mention that you’re willing to cover any associated fees, ensuring there’s no delay in the process.

7. Sign off Gracefully

End the letter with a formal valediction, such as “Sincerely” or “Yours truly,” followed by your name.

8. Enclose Proof of Identity

To protect patient confidentiality, some establishments might require proof of identity. Attach a copy of an ID or any relevant documents.

Real-life Example:

Mr. John Doe had to shift cities due to a job relocation. When seeking a new specialist, the first thing he did was draft a letter to his former hospital requesting medical records. 

By explicitly mentioning the records of a specific surgery and being clear about the format, he was able to get his records efficiently and smoothly transition to his new doctor.

Tips and Tricks Table

Be specific about the records you needDon’t be too informal
Mention the format you preferDon’t forget to include your contact information
Offer to cover any feesDon’t send the request without proof of identity

In Conclusion

Understanding how to write a medical report letter or a medical request letter can be invaluable. Whether you’re drafting a letter to request medical records, or you’re writing to a doctor for a medical report, or simply penning an application for a medical report, being precise, formal, and thorough is the key.

Remember, healthcare professionals deal with many such requests daily. By making your letter clear and straightforward, you’ll ensure that your request is processed quickly and efficiently. Always keep a copy for your records, and consider sending it via certified mail to confirm its receipt.

Medical Records Request Letter Template

[Your Full Name]
[Your Address]
[City, State, Zip Code]
[Email Address]
[Phone Number]

[Recipient’s Name or Hospital’s Records Department]
[Hospital/Clinic Name]
[City, State, Zip Code]

Subject: Request for Medical Records

Dear [Recipient’s Name or “To whom it may concern”],

I am writing to formally request a copy of my medical records. Please find my details below for verification:

  • Full Name: [Your Full Name]
  • Date of Birth: [Your DOB, e.g., January 1, 1990]
  • Patient ID/Number: [If available/applicable]

I am specifically seeking [mention specific records, e.g., “all records related to my knee surgery on June 15, 2022” or “all medical records from January 2020 to December 2022”].

I would like to receive the records in [preferred format, e.g., “digital format (PDF)” or “printed hard copy”]. If you require any fees to process this request, please inform me of the amount, and I will ensure prompt payment.

The purpose of this request is [optional explanation, e.g., “for my personal records” or “as I am seeking a second opinion regarding a medical condition”].

I understand the importance of protecting patient confidentiality and have attached a copy of my [type of ID, e.g., “driver’s license”] for identity verification. Should you need further verification or any additional information, please don’t hesitate to contact me at [your phone number or email address].

I kindly request the processing of my request in a timely manner. If there are any issues or concerns, please notify me as soon as possible. Your cooperation and assistance in this matter are greatly appreciated.

Thank you for your attention to this matter.


[Your Handwritten Signature (if sending a physical letter)]
[Your Typed Full Name]

[Enclosures: Copy of Identification, any other relevant documents]

Frequently Asked Questions (FAQs)

Q: What is a medical records request letter? 

Answer: A medical records request letter is a formal written document used to request copies of an individual’s medical records from a healthcare provider or facility. 

It serves as an official communication that outlines the specific information needed and the purpose for which the records are being requested.

Q: Why would someone need to write a medical records request letter? 

Answer: There are several reasons why someone might need to write a medical records request letter. Some common reasons include:

  1. Continuity of care: When changing healthcare providers or seeking a second opinion, it is important to have a complete medical history to ensure proper diagnosis and treatment.

  2. Personal records: Individuals may request their medical records for personal reasons, such as keeping track of their health information or for insurance purposes.

  3. Legal matters: Medical records can be requested for legal purposes, such as personal injury claims, disability claims, or court proceedings.

  4. Research or education: Researchers or students in the medical field may request medical records for study or educational purposes, while ensuring patient confidentiality and privacy.

Q: What should be included in a medical records request letter? 

Answer: A medical records request letter should include the following information:

  1. Patient’s full name, date of birth, and contact information.
  2. The purpose for requesting the records, such as for personal use or for legal reasons.
  3. Specific dates or time frame of the records being requested.
  4. Details about the healthcare provider or facility where the records are held, including their name, address, and contact information.
  5. Any relevant identifying information, such as the patient’s medical record number or social security number.
  6. A statement authorizing the release of the medical records and a signature of the patient or legal guardian.
  7. Date of the letter and a request for a response within a specific timeframe.

Q: How should a medical records request letter be delivered? 

Answer: A medical records request letter can be delivered in various ways, depending on the healthcare provider’s preferred method. Here are a few common delivery options:

  1. Postal mail: The letter can be sent by certified mail or with a return receipt requested to ensure proof of delivery.

  2. Fax: Some healthcare providers accept requests via fax. Make sure to include a cover page with the necessary contact information.

  3. Email: In certain cases, healthcare facilities may accept requests through encrypted email or secure online portals. Verify the appropriate email address or portal information beforehand.

  4. In-person delivery: If feasible, you can hand-deliver the letter to the healthcare provider’s office and request a receipt or confirmation of receipt.

Q: How long does it usually take to receive medical records after sending a request letter? 

Answer: The timeframe for receiving medical records can vary depending on factors such as the healthcare provider’s policies, the volume of records requested, and any legal requirements specific to your jurisdiction. 

Generally, healthcare providers have a legal obligation to respond to requests within a reasonable timeframe, which can range from a few days to a few weeks. 

It is recommended to specify a reasonable deadline in your request letter and follow up if you haven’t received a response within that timeframe.

Q: Can a medical records request letter be rejected? 

Answer: In some cases, a healthcare provider may reject a medical records request letter. Common reasons for rejection include:

  1. Insufficient information: If the request lacks necessary details, such as the patient’s identification information or specific dates of the records being requested, it may be rejected. Ensure that your request letter includes all relevant information.

  2. Privacy and confidentiality concerns: Healthcare providers must adhere to privacy laws and regulations. If the requested records contain sensitive information that could potentially harm the patient or violate someone else’s privacy rights, the provider may deny the request or redact certain portions of the records.

  3. Legal restrictions: In certain situations, legal restrictions or ongoing legal proceedings may prevent the release of medical records. For example, if the records are related to a criminal investigation or pending litigation, they may be withheld.

If your request is rejected, the healthcare provider should provide an explanation for the rejection and inform you of any options to appeal or address the concerns.

Q: Is it possible to obtain medical records without writing a formal request letter? 

Answer: While a formal medical records request letter is the most common and effective method, it may be possible to obtain medical records through alternative means. 

Some healthcare providers offer online portals or electronic forms that facilitate the request process. Additionally, in certain circumstances, you may be able to request records in person by filling out a specific form at the healthcare provider’s office. 

However, it is generally recommended to follow the formal request letter approach to ensure clarity, documentation, and a clear paper trail of the request and response.

Interesting Finds