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Medical Treatment Authorization Letter

Dr. Susan Robinson H.O.D- physiology New Life Hospital Dear Dr. Robinson, I am writing you this authorization letter to take your permission for my medical treatment of physiology problem of legs due to which I am unable to move. I have consulted Dr. Joan Smith, who educated me about the risk associated with required treatment […]

Authorization Letter Format

Name of Hospital or Doctor: Address: Date: To Whom It May Concern: I, (Your Name), hereby authorize (Name of Hospital) to release to (Name of Person or Doctor with his designation), any information in my personal medical records, reports and any other information pertinent to my treatment while I am under the care of (Name […]