BERNARD J. WOLFE, JR.
79 CENTRAL STREET
POST OFFICE BOX 64
WOODSVILLE, NEW HAMPSHIRE 03785
TEL. 603-747-2338 FAX CALL FIRST
August 11, 2003
Massachusetts General Hospital
121 Innerbelt Road
Somerville, MA 02143
Re: Request for medical records/fees
To The Above:
In my telephone conference with David in Medical Records confirming that you received all four pages of my fax of today, he indicated that there was a retrieval fee of $13.00 and $00.55 per page copy charge to be made out to Correspondence Dept., Health Information Services, Mass Gen'l Hospital.
In order to not delay sending the copies to Anthem, I am enclosing a check in the amount of $25.00 which should more than cover the charges. Again if there is any overage and processing will cause delay of copies being sent to Anthem, please apply the balance to a pro bono/charitable purposes account especially if there are any for children receiving treatment at the hospital.
If there is any question on this, please call me collect at 603-747-2338 or email to email@example.com.
Bernard J. Wolfe, Jr.