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24-HOUR MH HOTLINE

800-644-9737

FOR EMERGENCIES ONLY

24-HOUR MH HOTLINE: 800-644-9737
FOR EMERGENCIES ONLY

MH Letters and Forms

MH Letters and Forms

Use these MH Letters and Forms to aid in discussions/education about Malignant Hyperthermia with your family, healthcare professionals, schools, and insurance companies.  You may also order a hard copy of some to be shipped to you, from our online store.

SAMPLE LETTER: CHCT Test Form
SAMPLE LETTER: CHCT Test Form

PDF Format.

SAMPLE LETTER: Letter of Medical Necessity to insurance company
SAMPLE LETTER: Letter of Medical Necessity to insurance company

Use to request prior authorization for genetic testing from insurance companies. PDF format.

SAMPLE LETTER: Notify Healthcare Facility of MH-Susceptibility
SAMPLE LETTER: Notify Healthcare Facility of MH-Susceptibility

This is a sample letter an MH-susceptible individual could send to his/her local hospital(s). Its purpose is to advise the hospital(s) there is an MH-susceptible individual/family in the area and to determine whether the hospital is adequately prepared to treat MH. PDF format.

SAMPLE LETTER: Notify Insurance Company of Muscle Biopsy for MH
SAMPLE LETTER: Notify Insurance Company of Muscle Biopsy for MH

Sample letter to insurance company, explaining the reasons for and the implications of the muscle biopsy requested. PDF format.

SAMPLE LETTER: Request for Medical Records
SAMPLE LETTER: Request for Medical Records

Sample letter to the hospital's medical records department.  PDF format.

SAMPLE LETTER: Information about MH genetic testing for insurance company
SAMPLE LETTER: Information about MH genetic testing for insurance company

Use to aid discussions about Malignant Hyperthermia with insurance companies. PDF format.

SAMPLE LETTER: MH Susceptible Student Care Plan
SAMPLE LETTER: MH Susceptible Student Care Plan

Malignant Hyperthermia student care plan for schools. PDF format.

SAMPLE LETTER: MH Susceptible Student Guide for Teachers
SAMPLE LETTER: MH Susceptible Student Guide for Teachers

The Malignant Hyperthermia susceptible student - a guide for teachers. PDF format.

SAMPLE LETTER: Notify Family Of MH-Susceptibility
SAMPLE LETTER: Notify Family Of MH-Susceptibility

Sample letter to family members regarding susceptibility to MH. PDF format.

SAMPLE LETTER: Patient Safety Checklist
SAMPLE LETTER: Patient Safety Checklist

Questions to help you prepare for a patient's upcoming procedure.

The mission of MHAUS is to promote optimum care and
scientific understanding of MH and related disorders.