authorization letter sample for medical result

It is quite common for medical facilities to require a signed authorization letter from the patient or legal guardian in order to release the medical test results. The authorization letter is a legal document that grants permission to a third party to access and obtain medical information. In this article, we will provide you with some helpful tips and examples to create your own authorization letter for medical results.

Tips for Writing an Authorization Letter for Medical Results

Before we dive into the sample letter templates, here are some tips to keep in mind when drafting an authorization letter:

  • Clearly state the purpose of the letter and mention the specific medical test results that you wish to obtain.
  • Include the full name of the patient and their date of birth to ensure that the medical facility releases the correct information.
  • Provide the name and contact details of the person who will be receiving the medical results on your behalf.
  • Sign and date the authorization letter in the presence of a witness or notary public to make it a legally binding document.
  • Keep a copy of the authorization letter for your own records and submit the original to the medical facility.

Authorization Letter Sample for Medical Results

Authorization Letter for Blood Test Results

Dear Sir/Madam,I, [Patient’s full name], hereby authorize [Person’s full name] to collect the blood test results from [Name of medical facility]. The specific test results that need to be released are [List of test results].Please find attached a copy of my identification card for verification purposes. I authorize [Person’s full name] to collect and receive these test results on my behalf.Thank you for your assistance in this matter.Sincerely,
[Patient’s signature]
[Date of signing]

Authorization Letter for X-Ray Results

Dear [Medical facility name],I, [Patient’s full name], authorize [Person’s full name] to collect the X-Ray test results from [Name of medical facility]. The specific test results that need to be released are [List of test results].[Person’s full name] will provide a copy of their identification card for verification purposes. I authorize [Person’s full name] to collect and receive these test results on my behalf.Thank you for your cooperation.Best regards,
[Patient’s full name]
[Date of signing]

Authorization Letter for Pregnancy Test Results

To Whom It May Concern,I, [Patient’s full name], authorize [Person’s full name] to receive the pregnancy test results from [Name of medical facility]. The specific test results that need to be released are [List of test results].[Person’s full name] will present a copy of their identification card for verification purposes. I authorize [Person’s full name] to collect and receive these test results on my behalf.Thank you for your assistance.Sincerely,
[Patient’s signature]
[Date of signing]

Authorization Letter for COVID-19 Test Results

Dear [Medical facility name],I, [Patient’s full name], authorize [Person’s full name] to collect the COVID-19 test results from [Name of medical facility]. The specific test results that need to be released are [List of test results].[Person’s full name] will provide a copy of their identification card for verification purposes. I authorize [Person’s full name] to collect and receive these test results on my behalf.Thank you for your cooperation.Best regards,
[Patient’s full name]
[Date of signing]

Authorization Letter for Allergy Test Results

To Whom It May Concern,I, [Patient’s full name], hereby authorize [Person’s full name] to collect the allergy test results from [Name of medical facility]. The specific test results that need to be released are [List of test results].[Person’s full name] will present a copy of their identification card for verification purposes. I authorize [Person’s full name] to collect and receive these test results on my behalf.Thank you for your assistance.Sincerely,
[Patient’s signature]
[Date of signing]

Authorization Letter for Urine Test Results

Dear Sir/Madam,I, [Patient’s full name], authorize [Person’s full name] to collect the urine test results from [Name of medical facility]. The specific test results that need to be released are [List of test results].[Person’s full name] will provide a copy of their identification card for verification purposes. I authorize [Person’s full name] to collect and receive these test results on my behalf.Thank you for your cooperation.Best regards,
[Patient’s full name]
[Date of signing]

Frequently Asked Questions

Can I authorize someone else to receive my medical test results?

Yes, you can authorize a family member, friend, or legal representative to receive your medical test results on your behalf. You need to provide a signed authorization letter to the medical facility and ensure that the person you are authorizing has a copy of your identification card.

Do I need to provide a reason for requesting my medical test results?

No, you are not required to provide a reason for requesting your medical test results. However, you need to specify which test results you wish to obtain in the authorization letter.

Can I request for my medical test results to be sent to me via email?

Yes, some medical facilities allow patients to receive their test results via email. You need to provide your email address in the authorization letter and ensure that it is a secure and private email account.

What happens if the medical facility refuses to release my test results?

If the medical facility refuses to release your test results, you can contact the hospital administrator or request a written explanation for the denial. You can also seek legal advice if necessary.

Is my authorization letter valid if it is not signed by a witness or notary public?

No, the authorization letter is not a legally binding document if it is not signed in the presence of a witness or notary public. It is important to ensure that your authorization letter is signed and dated correctly to prevent any legal issues.

How long does it take to receive my medical test results?

The time it takes to receive your medical test results depends on the type of test and the medical facility. Some test results may be available within a few hours, while others may take several days or weeks to process. You can contact the medical facility to enquire about the expected timeline for your specific test results.

Conclusion

Writing an authorization letter for medical test results may seem daunting at first, but it is a straightforward process. By using the sample letter templates and tips provided in this article, you can create a clear and concise authorization letter that enables a trusted individual to receive your medical test results on your behalf.