You can address the letter to the doctor or medical provider who maintains the records you want released. It continues on from the original employee intake form, asking: Reason for referral. For example, Times New Roman or Arial 12 point works best. The Employee Counseling Assessment Form can be helpful for understanding and discussing an issue or event that has arisen at work that has led to an employee being referred for counseling. Make sure to use a font that is readable.
For example, you might draft one if you want a doctor to release your medical records to another person.
You can set up your letter like a standard business letter. There are two primary forms of medical release letters. You can also see more on Mental Health Templates. Method 1 Releasing Your Medical Records Download Article 1 Format your letter. The patient termination letter no show general template download is a well drafted and comprehensively written patient termination letter template that provides all the policy that when met leads to termination. Free Download Mental Health Patient Termination Letter No Show Template If you have any questions please call the Release of Information Department at 61.