Affidavit Of Medical Records Without Authorization

State:
Mississippi
Control #:
MS-62449
Format:
Word; 
Rich Text
Instant download

Description Affidavit Of Custodian Of Records Form

An Affidavit is a sworn, written statement of facts, signed by the 'affiant' (the person making the statement) before a notary public or other official witness. The affiant swears to the truth and accuracy of the statement contained in the affidavit. This document, an Affidavit of Custodian of Medical Records , is a model affidavit for recording the type of information stated. It must be signed before a notary, who must sign and stamp the document. Adapt the text to fit your facts. Available for download now in standard format(s). USLF control no. MS-62449
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Affidavit For Medical Records