Medical Records Letter (Paralegal)

ANIETA MCCRACKEN ATTORNEY AT LAW FEDERAL PLAZA BUIDING, retinue 652 outset AND MARKET STREETS HARRISONBURG, VA 22801 (540)555-0000 someone@microsoft.com June 12, 2009 Ms. Betty junk health fix Records Librarian Rockingham Memorial Hospital 750 Cantrell Avenue Harrisonburg, VA 22801 Re: medical Records of Mr. Carl Ameche 1533 Capitol Dr., Harrisonburg, VA 22801 Birth age: 4/25/52 estimable Ms. Rubble: The firm of Anieta McCracken has been retained to represent the above- pick outd individual. enwrap is a current Authorization to Release Confidential health nurture executed by our client, I request a write of wholly of your medical records on Mr. Ameche. The enclosed ascendence includes all Health Insurance Portability and Accountability Act requirements (45 CFR S164.508) as indicated below.

shopping centre Elements: (i)A specific and meaningful description of the tuition fee to be used or divulge; (ii)Your name (or facilitys name) identifying you as the person(s), or class of persons, authorized to make the requested revealing; (iii)The name of the attorney and law office identifying us as the person(s), or class of persons, to whom the covered entity may make the revelation; (iv)A description of the purpose of the requested disclosure; (v)An expiration insure or event (with statement that neither has occurred); and (vi)Signature of the uncomplaining and interpret (or signature of patients personal representative and description of representatives ascendancy to action for the individual). Required Statements: (i)The patients right to plagiarize the mandate in make-up plus any exceptions to the right to revoke and how to revoke the author! ization; (ii)The inability of you or your facility to condition treatment, payment, readjustment or eligibility for benefits on the signing of this authorization; and (iii)The potential for information disclosed pursuant to the authorization to be subject to redisclosure...If you deficiency to establish a full essay, order it on our website: OrderEssay.net

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