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CONFIDENTIALPAGE 1 OF 4 Paul Mitchell The School East Bay 100 Crescent Drive, Suite D, Pleasant Hill, CA 94523 (925) 6917687Disability Verification Form LETTER TO TREATING PROFESSIONAL Date:Dear Health
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01
Start by addressing the treating professional with their appropriate title and name.
02
Introduce yourself and provide a brief background about your situation or condition that requires their attention.
03
Clearly state the purpose of the letter and what specific information or assistance you are seeking from the treating professional.
04
Provide any relevant medical history, test results, or documentation that can support your request or provide context to your condition.
05
Be concise and clear in your writing, using simple language to ensure easy understanding.
06
End the letter with a polite request for their prompt response and include your contact information for further correspondence.
07
Proofread the letter for any errors or incomplete information before sending it.
08
Sign the letter in ink and send it through a secure and reliable means, such as registered mail or email with encryption, to protect your privacy and ensure its safe delivery.

Who needs letter to treating professional?

01
Anyone who requires medical attention or guidance from a treating professional can benefit from writing a letter.
02
This includes individuals seeking a second opinion, those in need of medical advice or treatment options, patients requesting adjustment in current treatment plans, individuals who wish to discuss their medical concerns more thoroughly, or those who require documentation for legal or insurance purposes.
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Letter to treating professional is a written communication sent to a healthcare provider who is treating a patient.
The requesting party or their legal representative is required to file the letter to treating professional.
The letter should include patient information, request for medical records, authorization for release of information, and signature of the requesting party.
The purpose of the letter is to formally request medical records or information from a healthcare provider.
The letter should include patient's name, date of birth, address, medical record number, specific information requested, and reason for request.
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