Medical Release Letters


Subject: Medical Release Approval

Dear Dr. [Receiving doctor Name], I hope this letter finds you in the best of health and high spirits. I write this letter to you for the transfer of medical records and the release of medical information for my patient [Patient Full Name] to your care.

[Patient Full Name] has been my patient for the past [mention number of years] at [mention hospital name] for the management and treatment of [explain the medical condition]. After treating [patient name] for [mention period of treatment], I feel that he/she has reached a stage where he/she requires more advanced care. I researched different options for [patient name] where she could receive the specialized care she requires, and I feel it is now in the best interest of [patient name] health that he/she receives care from your renowned healthcare center.

Before contacting you, I in detail explained the pros and cons to [Patient Name] and obtained his/her consent to transfer [his/her] medical records and information to your healthcare center.

I am attaching with this letter all the relevant medical records, test results, treatment history, and a summary of the [Patient Name] case. I believe the attached documents would be enough to give you a detailed understanding of [patient name]’s medical condition, the treatments administered, and how [patient name] is doing currently, health-wise.

I would request that you write back to acknowledge the receipt of these records and to inform me whether or not you intend to accept [Patient Name] as your patient. I would also request that you please inform me if you find that I have missed out on any additional information or clarification regarding [patient name]’s medical history and current or past treatment plan.

As [Patient Name]’s referring healthcare provider, I remain committed to ensuring a smooth transition of care and am always available to collaborate with you to provide any further assistance that may be needed.

Your prompt attention to my request and your willingness to accept [Patient Name] into your care will be highly appreciated. [Patient name] is in desperate need of specialized care and expertise, and I strongly believe that she will be well looked after by your team under your guidance.

I look forward to your cooperation and support in this matter.


[Your Name]
[Your Title/Position]
[Your Clinic/Hospital Name]

Medical release letter template


Subject: Medical Release for [Patient Full Name]

To whom it may concern:

I am [Dr. Name] and am writing to inform you of a medical situation concerning [Patient’s Full Name], who is currently under my care. To comply with your work regulations and to provide transparency, I am providing this medical release letter to explain the circumstances.

As a panel doctor for [mention company name], [Patient Full Name] has been under my medical care for the treatment of [briefly describe the medical condition or reason for medical leave]. After several tests and physical examinations, I find it imperative that [patient name] be granted a temporary leave from work to focus on his/her recovery and ensure proper rest for his/her well-being.

Based on his/her current health condition, it is expected that [Patient Name] would need medical leave for approximately [number of days/weeks]. This is because, during this period, he/she will not be able to perform work-related duties.  This leave of absence is a must to help facilitate his/her recovery and to prevent any potential risks to not only his/her health but to the health of his/her colleagues as well.

I would request that you understand and facilitate [patient name] during this tough time by granting him/her this medical leave of absence. I understand that [patient name] is a valuable asset at [company name], and his/her presence is required in the office, but I am certain that as soon as he/she is medically fit to return to work, he/she will make every effort to ensure a smooth transition.

I will keep you updated on [Patient Name] progress and will notify you when [he/she] is considered fit to return to work. Until then, I shall appreciate your understanding and cooperation in granting [Patient Name] the necessary time off to recover so that when he/she returns, he/she can give you his/her best!

If you have any questions or need any additional information, please do not hesitate to contact me at [Dr. Phone Number] or [Dr. Email Address].

I appreciate your understanding and support during this time, and I believe that [Patient Name] will very soon return to work in the best of health to resume his/her duties effectively.

I look forward to your prompt attention to this matter.


[Your Name]
[Your Title/Position]
[Medical Practice Name]

Medical release letter template

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