Friday, May 10, 2013

Employer Request for Medical Records Letter

Here is an example of employer request for medical records letter. You should modify this letter to be suitable for your purpose and situation

Dear [Name]

[Insert Name] has applied to the [Insert Company Name] for employment in the position of Construction Foreman. Because of the physical requirements this position entails, we request the following medical records:

CBC Blood, Urine Sample
Chest X-ray
Any hospitalization or Medical Treatment records

Enclosed is an authorization letter of the applicant granting permission to access his medical records. Thank you for your cooperation.

Related searches: Employer Request for Medical Records, medical certificate for employee, patient record request for employment, recruitment letter, medical records release request letter,

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