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Medical Confirmation Letter for the Netherlands

Medical Confirmation Letter Template for Netherlands

A Medical Confirmation Letter is a formal medical document issued under Dutch healthcare regulations, primarily governed by the Medical Treatment Contracts Act (WGBO) and compliant with EU data protection laws (GDPR/AVG). This document serves as an official confirmation of specific medical information, conditions, or circumstances relating to a patient, issued by a qualified healthcare provider. The letter follows strict medical privacy guidelines while providing necessary medical verification for various purposes such as employment, insurance, education, or travel requirements.

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Medical Confirmation Letter

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What is a Medical Confirmation Letter?

A Medical Confirmation Letter is a crucial document in the Dutch healthcare system, used to formally communicate verified medical information about a patient to authorized parties. These letters are commonly required for various purposes, including verification of medical conditions, fitness for work assessments, insurance claims, travel clearances, or educational accommodations. The document must comply with Dutch healthcare legislation, particularly the Medical Treatment Contracts Act (WGBO), the Healthcare Quality Act (Wkkgz), and the General Data Protection Regulation (AVG/GDPR). Healthcare providers must ensure that the letter contains accurate medical information while maintaining patient confidentiality and obtaining appropriate consent for information disclosure.

What sections should be included in a Medical Confirmation Letter?

1. Healthcare Provider Information: Official letterhead, contact details, and professional registration number (BIG-nummer) of the healthcare provider

2. Date and Reference: Current date and any relevant reference numbers

3. Patient Identification: Patient's full name, date of birth, and other relevant identification details (compliant with privacy regulations)

4. Purpose Statement: Clear statement of the purpose for which the medical confirmation is being issued

5. Medical Confirmation Details: Specific medical information or confirmation being provided, including relevant dates and medical facts

6. Professional Declaration: Formal statement confirming the accuracy of the information provided

7. Signature Block: Healthcare provider's signature, name, title, and professional registration details

What sections are optional to include in a Medical Confirmation Letter?

1. Treatment History: Brief overview of relevant treatment history when necessary for the confirmation purpose

2. Fitness Declaration: Specific statements about fitness for work, travel, or activities when required

3. Medication Information: Current medication details when relevant to the confirmation purpose

4. Follow-up Requirements: Any necessary follow-up appointments or actions required

5. Third Party Authorization: When the letter is addressed to or authorized for specific third parties

What schedules should be included in a Medical Confirmation Letter?

1. Medical Test Results: Relevant test results or medical reports supporting the confirmation

2. Patient Consent Form: Copy of patient's consent for sharing medical information

3. Specialist Reports: Any supporting documentation from other medical specialists

4. Medical Images: Relevant medical imaging results when applicable

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Netherlands

Document Type

Confirmation Letter

Sector

Sales

Cost

Free to use
Relevant legal definitions




















Clauses















Relevant Industries

Healthcare

Insurance

Education

Human Resources

Occupational Health

Travel and Tourism

Legal Services

Government Services

Sports and Recreation

Relevant Teams

Human Resources

Legal

Compliance

Medical Administration

Employee Relations

Benefits Administration

Health and Safety

Privacy and Data Protection

Insurance Claims Processing

Occupational Health

Relevant Roles

General Practitioner

Medical Specialist

Occupational Health Physician

HR Manager

Insurance Claims Assessor

Medical Administrator

Legal Compliance Officer

Privacy Officer

Health and Safety Manager

School Administrator

Travel Health Consultant

Employee Relations Manager

Benefits Administrator

Industries





Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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