BERNARD J. WOLFE, JR.
79 CENTRAL STREET
POST OFFICE BOX 64
WOODSVILLE, NEW HAMPSHIRE 03785
TEL. 603-747-2338 FAX CALL FIRST
September 3, 2003
Thomas Dodson, MD
Massachusetts General Hospital
Oral and Maxillofacial
55 Fruit Street
Boston, MA 02114-2622
faxed also 617-724-8822
Re: Request for medical records MGH# 043 48 28 DOB
To The Above:
This I believe is the fifth attempt to get copies of all my records. I enclose a copy of the last correspondence to both you and the records department. I have previously sent a check in the amount of $25.00 and now enclose another check for $25.00 so there should not be a delay for lack of payment. If there is an additional cost, this new check can be processed along with the prior check according to my prior letter if . If this still is not enough, please call me collect. I have been advised by the Film library and records Department, that they do not have such records.
I called your department on August 25, 2003 to find out why copies of the x-rays of my teeth and jaw, etc. and all reports on said films had not been received by me or my insurance carrier, Anthem. It was indicated that copies would be sent (at no charge) to me and Anthem but as of today, the copies have not been received. It is urgent that the copies be sent so that Anthem can make a determination on whether to pay toward the hospital bills.
If there is any question on this, please call me collect at 603-747-2338 or email to email@example.com.
Release exact duplicate copies of said records to Bernard J. Wolfe, Jr., PO Box 64, Woodsville, NH 03785 and to:
Anthem Blue Cross and Blue Shield, 3000 Goffs Falls Road, Manchester, NH 03111-0001,
Attention of Michelle A. Belyea, Appeal Specialist, Appeals Department.
Please also put inside on the records this same information so it will go to the correct department.
Bernard J. Wolfe, Jr.