Rarotonga, 2010

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(Ontario/Canada)

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Civil and Administrative
Litigation Opinions
for Self-Reppers

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* FAX:


Re:
DOB
================

Dear Doctor,

I represent the above-named in a disability appeal. My
authorizations are attached.


Copies of Medical Records

I am requesting that your office provide me with copies of:

. expert reports,

. clinical tests,

. and any other documentation that may clarify my client's
medical condition and functional limitations that these
impose.

I request such records as generated over the last three
years, unless you feel that older documents are key to
establishing the diagnoses. Please do not sent copies of
clinical notes unless they are both legible and contain
diagnostic conclusions.

I will honour your reasonable fees for this copying service.


I ask that these materials be available to me by .......

Request for Referral

.....

Sincerely,


Simon Shields, LLB

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Last modified: 11-01-23
By: admin