[Image: masthead]

24-HOUR MH HOTLINE

800-644-9737

FOR EMERGENCIES ONLY

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

Sample Letters

Sample Letters

Use these sample letters to aid in discussions about Malignant Hyperthermia with your family, healthcare professionals, and insurance companies.  You may also order a hard copy 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.