Medical Records Letter (Paralegal)

ANIETA MCCRACKEN
ATTORNEY AT LAW
FEDERAL PLAZA BUIDING, SUITE 652
outset AND MARKET STREETS
HARRISONBURG, VA 22801
(540)555-0000
someone@microsoft.com


June 12, 2009


Ms. Betty junk
health check 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

Dear Ms. Rubble:
The firm of Anieta McCracken has been retained to represent the above- pick outd individual. Enclosed 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 authorization 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 to be used or disclosed;
(ii)Your name (or facilitys name) identifying you as the person(s), or class of persons, authorized to make the requested disclosure;
(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 disclosure;
(iv)A description of the purpose of the requested disclosure;
(v)An expiration date or event (with statement that neither has occurred); and
(vi)Signature of the uncomplaining and date (or signature of patients personal representative and description of representatives ascendancy to act for the individual).

Required Statements:
(i)The patients right to plagiarize the authorization in writing plus any exceptions to the right to revoke and how to revoke the authorization;
(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 get a full essay, order it on our website: Orderessay



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