This form grants authority to the attorney to obtain the client's medical records from the client's medical provider.
Arkansas Limited Authorization to Inspect and Copy Medical Records
State:
Multi-State
Control #:
US-PI-0012
Format:
Word;
Rich Text
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How to fill out Limited Authorization To Inspect And Copy Medical Records?
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25-19-102. It is vital in a democratic society that public business be performed in an open and public manner so that the electors shall be advised of the performance of public officials and of the decisions that are reached in public activity and in making public policy.
Arkansas Providers may charge a maximum of: $0.50 per page for pages 1?25, and ? $0.25 per page for pages 26 and up. These fees do not apply to x-rays. Providers may impose an additional labor charge up to $15.00 for each request, as well as the actual cost of any required postage.
Medical records are the document that explains all detail about the patient's history, clinical findings, diagnostic test results, pre and postoperative care, patient's progress and medication. If written correctly, notes will support the doctor about the correctness of treatment.
(1) In contemplation of, preparation for, or use in any legal proceeding, any person who is or has been a patient of a doctor, hospital, ambulance provider, medical healthcare provider, or other medical institution shall be entitled to obtain access, personally or by and through his or her attorney, to the information ...
(a)(1)(A) Except as otherwise specifically provided by this section or by laws specifically enacted to provide otherwise, all public records shall be open to inspection and copying by any citizen of the State of Arkansas during the regular business hours of the custodian of the records.
Recovery of charges for medical services. (a) No action shall be brought to recover charges for medical services performed or provided prior to April 1, 1985, by a physician or other medical service provider after the expiration of a period of eighteen (18) months from the date the services were performed or provided.
Some exemptions to the Arkansas Freedom of Information Act are state tax records, medical/adoption/education records, archaeological and historical information, grand jury minutes, unpublished drafts of judicial opinions, undisclosed police investigations, information that would create unfair competition, identities of ...
Arkansas Laws for Adults' Medical Record Retention Medical records must be kept 10 years after last discharge. All medical records shall be retained in either the original, microfilm or other acceptable methods. Facility shall maintain information in the master patient index.