Sample Advocacy Letters

Sample Letter Requesting Medical Records

PARENT'S NAME
ADDRESS
CITY, STATE ZIP CODE
TELEPHONE NUMBER

Date

Re: Child's name and date of birth

Dear

My son, (child's name), is your patient. We realize that (child's name) medical needs are on-going, and that we as his parents have an on-going obligation to be sure that he receives the best care available, regardless of where we live or work. In order for us to be best prepared to help (child's name), we need to maintain a set of his medical records and to compile a medical resume for use with his various professional specialists, care providers and teachers.

Would you please provide us with copies of all medical records you have concerning (child's name), from your first date of treatment to the present? We also would like to arrange that we receive copies of on-going medical records at least once every three months. What do we need to do to arrange that with you?

Thank you for understanding the need for our request and for your prompt response.

Sincerely

Sample Letter Provided by Family Resource Network, Inc.