This affidavit is to be used by the custodian of medical records to certify that records obtained by the attorney regarding the client's treatment are true and correct copies.
Indiana Affidavit of Custodian of Medical Records
State:
Multi-State
Control #:
US-PI-0007
Format:
Word;
Rich Text
Instant download
Description
How to fill out Affidavit Of Custodian Of Medical Records?
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FAQ
To obtain records of a deceased patient: The executor or administrator of a decedent's estate may obtain records if they provide a letter testamentary, a letter of administration or a "short certificate" showing that they are authorized to act as the personal representative of the decedent.
(a) A provider or medical records company that receives a request for a copy of a patient's medical record shall charge not more than the following: (1) One dollar ($1) per page for the first ten (10) pages. (2) Fifty cents ($. 50) per page for pages eleven (11) through fifty (50). (3) Twenty-five cents ($.
Under Indiana medical records laws, only the patient, authorized representative, or an authorized health case worker has access to medical records, except by subpoena or other court order.
What is a Medical Records Custodian? The medical records custodian is the person or company that has been designated to handle your private healthcare records so that you or your practice can be free of legal obligation and future medical record requests from patients.
Under Indiana medical records laws, only the patient, authorized representative, or an authorized health case worker has access to medical records, except by subpoena or other court order.
Search Indiana Legacy These records are available to the public at no charge and include a host of records such as: birth, marriage, death, divorce, obituaries, court records, newspapers, scrapbooks, yearbooks, military records, and many other record types.
In litigation, business records, such as medical records, are often allowed into evidence at trial with an affidavit signed by the Custodian of Records which states that the records are true and accurate, complete and maintained in the ordinary course of business.
The HIPAA Privacy Rule is a set of federal standards to protect the privacy of patients' medical records and other health information maintained by covered entities (health plans, which include many governmental health programs [such as the Veterans Health Administration, Medicare and Medicaid], most doctors, hospitals ...
