Requisition Letter for Cancer Treatment

These letters are meant to serve as templates for individuals facing a cancer diagnosis and in need of medical assistance. They can be customized to fit the individual’s specific needs and used as a guide in communicating their requests to doctors, hospitals, or insurance companies.


It is important to be clear and concise in these letters, as well as respectful and professional. By utilizing these letters, individuals can effectively communicate their needs and advocate for themselves as they navigate the challenges of a cancer diagnosis.

A requisition letter for cancer treatment may look something like this:

Dear [Doctor/Hospital],

I am writing to request your assistance in obtaining a cancer diagnosis and treatment plan. I have been experiencing symptoms and believe that I may have cancer.

As such, I kindly request that you schedule me for any necessary medical tests, such as a biopsy or CT scan, in order to accurately diagnose and determine the type and stage of my cancer. Additionally, I request a referral to an oncologist for the best course of treatment, including any recommended surgeries, chemotherapy, or radiation therapy.

I understand that the process can be time-sensitive, so I would appreciate your prompt attention to this matter. I am available to schedule appointments at your earliest convenience.

Thank you for your time and assistance. I look forward to hearing from you soon.

Sincerely, [Your Name]

Request for Second Opinion for Cancer Treatment:

Dear [Doctor/Hospital],

I am writing to request a second opinion for my recent cancer diagnosis. I have been informed of a recommended course of treatment, but I would like to seek the advice of another specialist before making any decisions.

I kindly request that you refer me to a top cancer specialist who can review my medical records, test results, and treatment plan. I am eager to explore all of my options and receive the best care possible.

Thank you for your understanding and assistance. I look forward to hearing back from you soon.

Sincerely, [Your Name]

Request for Financial Assistance for Cancer Treatment:

Dear [Hospital/Insurance Company],

I am writing to request financial assistance for my cancer treatment. Despite having insurance coverage, I have received a quote for my treatment plan that exceeds my financial means.

I am reaching out to you in the hopes that you may be able to provide me with some support in paying for my medical bills. I am eager to receive the necessary treatment, but I am unable to do so without some help.

Please let me know if there are any programs or resources available to assist me in this difficult time. I would be grateful for any support that you can offer.

Thank you for your time and assistance. I look forward to hearing back from you soon.

Sincerely, [Your Name]

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