Templates and Sample Request Letters
Templates and Sample Request Letters
- Sample FOIA Request Letter (PDF)
- Sample FOIA Request Letter for Your Own Medical Records (PDF)
- Sample FOIA Request Letter for Records on a Living Beneficiary from Someone Other Than the Beneficiary (PDF)
- Sample FOIA Request Letter for Records on a Deceased Beneficiary (PDF)
- Sample FOIA Appeal Letter (PDF)
- Medicare Authorization to Disclose Personal Health Information (PDF)
Page Last Modified:
11/09/2019 05:24 PM