Example Medical and Billing Records Request from a Doctor’s Office

March 1, 2050

Office of Dr. Help Meout

222 E. Shelby Dr., Suite 201

Memphis, TN  38116

Dear Ms. Assistant,

I am writing to request a copy of the medical and billing records for my client, Seriously Injured, who was first seen at Dr. Meout’s office on January 1, 2050.  Her patient number in your office is 9999.

I appreciate your help in this matter. Please send records either via fax to 901-881-6354 or by mail to the address above, to the attention of My Assistant.

Sincerely,

James Ferrell

Attorney

Ferrell Law Firm, PLLC