Sample Authorization Letter for Medical Records

Re: AUTHORIZATION LETTER FOR MEDICAL RECORDS

TO WHOM IT MAY CONCERN,

I am [Name] of [insert address]. I have been a patient of [insert medical facility] under [Doctor's name] for a number of years.

I hereby authorise release of all requested medical information to the above-listed requesting company.


Sincerely,
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Sample Authorization Letter for Transcript of Records

TO WHOM IT MAY CONCERN,

This is to authorize my brother, James Henson to claim my transcript of records on my behalf. I am currently on assignment abroad, and I would need an original copy of my university transcript to complete the process of some very important applications. Attached with this letter are my valid IDs and student information.

I would appreciate any kind of assistance your office may extend to my brother with regards to this matter.

Thank you very much

Sincerely,
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