Request generator for discharge/records/certificate — you have a legal right to your data
To the head of — From: — Date of birth: — REQUEST for medical documentation Based on the patient's right to access medical information, I request: - Medical history discharge summary Purpose: — Please issue the documents personally or send copies. Please notify any refusal in writing with grounds. Date: 19/10/2026 Signature: —
By law a patient has the right to access their medical documents and copies. File the request in two copies with an acceptance stamp or send by registered mail. Response term — up to 30 days (usually 3–10). Groundless refusal — complaint to the facility head and the health department.