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I, the undersigned, being duly sworn according to law, depose and say, that I am the duly authorized custodian of records for (name of hospital, doctor, ... This video from Summit Legal Aid, formerly Laurel Legal Services, explains how to complete and file an Affidavit of Service in a custody proceeding after ...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 ... First and foremost, double-check if the Philadelphia Affidavit of Custodian of Medical Records is adapted to your state's or county's regulations. If the form ... Under Pennsylvania law, your medical provider is the legal custodian of your medical record, but you have the right to see, to obtain copies of, and to direct ... (b) General rule.--A record of an act, condition or event shall, insofar as relevant, be competent evidence if the custodian or other qualified witness ... (f) A deposition under this section shall be in the form of a written affidavit of the custodian of records as deponent without interrogation. The affidavit ... I, [Name of Agency Open Records Officer], hereby declare, pursuant to 18 Pa. ... locations of responsive records, likely custodians of responsive records, the. Please only attach documents necessary for the purposes of this case. Complete the entire form and check all that apply. This form and any additional pages must ... If a request for medical records comes via subpoena, discovery request or any other court order, the provider must not ignore it. However, the consequences of ...