As a former patient of XYZ Clinic, I am writing to request a copy of my medical records.
I was a patient of Dr. Jonson from June 2005 to September 2009, and I would like to receive copies of all recorded files from that time that include physical assessment, blood work, imaging, scans, diagnoses, and prescriptions.
Please release this information to me no later than June 10, 2015. If you have any questions or require any further information, please contact me using the email address or phone number provided above.
Thank you for your prompt action in this matter.
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