New Hampshire Affidavit of Custodian of Medical Records

State:
Multi-State
Control #:
US-PI-0007
Format:
Word; 
Rich Text
Instant download

Description

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.

The New Hampshire Affidavit of Custodian of Medical Records is a legally binding document that is utilized to request or disclose medical records in the state of New Hampshire. It serves as a sworn statement provided by the custodian of medical records or a person in charge of the records, affirming the authenticity, completeness, and accuracy of the medical records being disclosed. Keywords: New Hampshire, Affidavit of Custodian of Medical Records, request, disclose, legally binding, sworn statement, custodian, authenticity, completeness, accuracy. In addition to the standard New Hampshire Affidavit of Custodian of Medical Records, there are a few different types that cater to specific situations: 1. New Hampshire Affidavit of Custodian of Medical Records for Personal Injury Cases: This type of affidavit is used when medical records are requested or disclosed in relation to a personal injury case. It ensures that the custodian of the medical records affirms their veracity and is legally bound to provide accurate information to both the injured party and the authorized legal representatives involved. 2. New Hampshire Affidavit of Custodian of Medical Records for Insurance Claims: This affidavit is used when medical records need to be requested or shared for the purpose of filing an insurance claim. It certifies that the custodian of the medical records is providing complete, authentic, and reliable information regarding the insured individual's medical history and treatment. 3. New Hampshire Affidavit of Custodian of Medical Records for Employment Matters: This type of affidavit is employed in employment-related situations when the disclosure of medical records is necessary, such as during the hiring process or when filing workers' compensation claims. It establishes the custodian's responsibility for the accuracy and completeness of the medical records being disclosed. 4. New Hampshire Affidavit of Custodian of Medical Records for Family Law Proceedings: This affidavit is used in family law cases, including divorce, child custody, or adoption proceedings. It ensures that the custodian of medical records provides truthful and reliable information pertaining to the medical history and treatment of the individuals involved in the case. It may also state details regarding mental health records or any other sensitive medical information that might be pertinent to the proceedings. By utilizing the New Hampshire Affidavit of Custodian of Medical Records correctly and applying the relevant type based on the situation, individuals and parties can establish the credibility, accuracy, and authenticity of the medical records being requested or disclosed.

How to fill out Affidavit Of Custodian Of Medical Records?

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FAQ

HEIR-AT-LAW is a person who is entitled to receive the decedent's personal or real property under the intestacy succession laws if there is no will. 2. List all the children born of or adopted by the decedent who were living at the time of the decedent's death.

"Next of kin" means a person having the following relationship to the subject, in the following order of priority: (a) The spouse. (b) An adult son or daughter. (c) A parent.

STATE LAW, RSA 332-I, allows patients to obtain a copy of their medical records for a limited charge. RSA 332-I states the following: ?332-I:1 Medical Records. ? All medical information contained in the medical records in the possession of any health care provider shall be deemed to be the property of the patient.

?Next of kin? refers to your closest living blood relative (or relatives), like your children, parents, or siblings. People related to you by law, like your spouse or an adopted child, are also legally considered your next of kin.

Intestacy: Dying without a will In New Hampshire in the absence of a will, a surviving spouse inherits the entire estate unless the decedent and the spouse share descendants, in which case the spouse inherits the first $250,000 of the estate plus half the balance.

PNOK ? The primary next of kin is the person most closely related to the casualty for notification and assistance purposes. This is normally the spouse for married persons and the parents for unmarried service members or individuals.

More info

Affidavit of Surviving Spouse or Next of Kin Seeking Access to Medical Records. X-rays and hospital records (which are certified as being complete records) if otherwise admissible and competent may be introduced without calling the ...Before the trial or hearing, the proponent must give an adverse party reasonable written notice of the intent to offer the record - and must make the record and ... * Patients will be able to sign request form, send back securely, and receive any requested medical record. Benefits of a Medical Records Custodian. Document ... Apr 9, 2014 — Here are some important facts about copy certification all Notaries should know. All applicants for licensure in New Hampshire are required to submit their background credentials to the Federation Credentials Verification Service (FCVS). Financial affidavits, as with all documents filed with the court, are important documents and must be filled out thoroughly and thoughtfully. When you sign a ... The copy of the medical records attached to this affidavit is a true copy of all the records described in the subpoena duces tecum or search warrant; and c. The ... I. A law enforcement agency may request from the court an order compelling the department or a health care provider to disclose a child's medical records for ... For a copy of medical records or other protected health information on behalf of a ... Record Affidavit, $5.00/each. Record Certification, $25.00/each. Search ...

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New Hampshire Affidavit of Custodian of Medical Records