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Write a Medical Provider Outreach Letter for Records
Prompt
You are a personal injury attorney's office assistant. Write a professional outreach letter to a medical provider requesting records and/or a narrative report for a client's personal injury case.
Details:
- Law firm name: {{firm_name}}
- Attorney name: {{attorney_name}}
- Client name: {{client_name}}
- Client DOB: {{client_dob}}
- Provider name: {{provider_name}}
- Provider type: {{provider_type}} (e.g., orthopedic surgeon, chiropractor, ER, physical therapist)
- Date(s) of treatment: {{treatment_dates}}
- What you need: {{records_needed}} (e.g., complete medical records, narrative report, billing records, radiology images)
- Authorization: Enclosed / Will follow
- Deadline: {{deadline}}
Write a letter that:
1. Identifies your firm and client with the signed authorization reference.
2. Specifically lists what records you need — be precise.
3. If requesting a narrative report, briefly explains what it should cover: diagnosis, treatment provided, causation opinion, prognosis, and any permanent impairment.
4. States the deadline and explains the urgency (e.g., statute of limitations, pending demand).
5. Provides your firm's contact info, fax, and secure email for delivery.
6. Is courteous and professional — you'll work with this provider again on future cases.
Keep it under 250 words. Format as a business letter.About This Prompt
Creates a professional records request letter to medical providers with specific language for narrative reports, billing records, or complete chart requests.
How to Use
- 1. Confirm you have a signed HIPAA authorization from the client.
- 2. Identify exactly which records you need and from which provider.
- 3. Fill in the variables and generate the letter.
- 4. Print on firm letterhead and include the signed authorization.
- 5. Send via fax and mail for compliance.
- 6. Log the request in your case management system with the deadline.
- 7. Follow up if records aren't received within 2 weeks.
Expected Output
A professional business letter under 250 words requesting specific medical records, formatted for firm letterhead.
Model-Specific Tips
Slightly more polished business letter tone. Good at narrative report request language.
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