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Get OH Probate Court Application To Release Medical Records And Medical Billing Records - Cuyahoga 2019-2024

S R.C. 2113.032 Applicant says that the decedent died on Decedent s domicile or residence was (City, Village, or Township) (County) , (Street Address) (State) (Zip Code) Applicant requests authority to obtain the decedent s medical records and billing records for the purpose of evaluating a potential wrongful death, personal injury, or survival action on behalf of the decedent. Applicant states the following: (Check whichever is applicable) o Applicant is an individual who is eligible.

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