Logo Background

How To Write A Permission Letter

  • By | Comments Off

    Looking for right words to write permission letter by referring to a professionally written sample? We will guide you by giving example, format and tips which will help you in business letter writing.

    Permission letter usually will start with the word “I hereby give permission to” and it was written to provide consent to other party to perform task on your behalf.

    Permission letter must have the original signature and cannot have any restrictions, conditions or stipulations.

    You can use the standard business style letter as guidelines to format a permission letter. It’s important to keep your permission letter as simple, brief and focused as possible for fast and easy understanding.

    Do a proofread and eliminate grammar and spelling errors in your permission letter.

    Permission Letter Example To Release Medical Record

    (Sender Name)
    (Sender Street Address)
    (City, State, Zip Code)


    (Hospital Street Address)
    (City, State, Zip Code)

    To Whom It May Concern:

    Subject: Personal Medical Record Release Request

    I, (name), hereby authorize (hospital name) to release to (specialist name) any information in my personal medical records during the time period from (date) to (date).

    My permission was given to the (specialist name) for the reason of further diagnosis and treatment of my asthma problem.

    I do not, however, give permission for any other use or for any re-disclosure of this information.

    Signature: _______________ (by you) Date: _______________

    Signature: _______________ (by witness) Date: _______________

    Read more on how to write an authorization letter and consent letter.

    » Sample Notice Letter