This form is used to certify the authenticity of medical records provided to the attorney by a medical provider.
Arkansas Certificate of Authenticity of Medical Records
State:
Multi-State
Control #:
US-PI-0013
Format:
Word;
Rich Text
Instant download
Description
How to fill out Certificate Of Authenticity Of Medical Records?
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FAQ
Birth certificates can be requested online, by telephone, by mail, or in-person. When mailing in this application, include a copy of your photo ID with your payment to the Arkansas Department of Health and mail to the address listed in the payment section below. Please allow 7-14 days for processing.
For 25 years, VitalChek has been an official, government-authorized service for citizens to securely order certified birth certificates and other vital records from official government agencies nationwide.
Arkansas death records are open to the public for deaths that occurred at least 50 years ago.
The certificate of live birth simply verifies that you are medically alive, whereas the birth certificate verifies who you are, who your parents are, where you were born, and your date of birth. Without your birth certificate, you cannot prove who you are. This can cause many problems for yourself.
Arkansas birth records are in the public domain only after 100 years from the birth. To access the records more recent than that you must be a direct relative of the individual.
Walk-in: You may order a certified copy of the birth record by coming into the Arkansas Department of Health's vital records office. The office is located at 4815 West Markham St. Little Rock, AR 72205, across the street from War Memorial Stadium, and is open Monday through Friday, A.M. until P.M.
Pay the service fee, certificate fee, and charges for any expedited shipping options by debit or credit card (Visa, Mastercard, Discover, or American Express). Requests typically take 7-14 business days from the date your order is approved plus additional shipping time.
You can also check the status of your order at any time by going to and entering your confirmation number.
