Mississippi Affidavit of Custodian of Medical Records

State:
Multi-State
Control #:
US-PI-0007
Format:
Word; 
Rich Text
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Description

This affidavit is to be used by the custodian of medical records to certify that records obtained by the attorney regarding the client's treatment are true and correct copies.

The Mississippi Affidavit of Custodian of Medical Records is a document that serves as a legal proof and certification of the authenticity and accuracy of a medical record that is held by a custodian or healthcare provider in the state of Mississippi. This affidavit is commonly used in various legal proceedings, including personal injury lawsuits and workers' compensation claims, where access to medical records is essential. The Mississippi Affidavit of Custodian of Medical Records includes crucial information such as the identity and contact details of the custodian, a detailed description of the medical records being certified, and a declaration stating that the records are true, complete, and unchanged from their original form. The affidavit contains relevant keywords such as "Mississippi," "affidavit," "custodian," "medical records," "proof," "certification," "authenticity," "accuracy," "legal proceedings," "personal injury lawsuits," "workers' compensation claims," and "healthcare provider." In addition to the general Mississippi Affidavit of Custodian of Medical Records, there may be specific variations or types of affidavits depending on the nature of the legal case. These specialized affidavits may include: 1. Personal Injury Affidavit of Custodian of Medical Records: This affidavit specifically addresses medical records related to personal injury claims, providing detailed information about the injuries, treatment, and medical history of the injured party. 2. Workers' Compensation Affidavit of Custodian of Medical Records: Designed for workers' compensation claims, this affidavit focuses on medical records related to a workplace injury or illness and includes information about the treatment, diagnosis, and prognosis. 3. Family Law Affidavit of Custodian of Medical Records: In cases such as child custody battles or divorce proceedings, this affidavit pertains to medical records that may be relevant to the physical or psychological well-being of a child or family member. 4. Social Security Disability Affidavit of Custodian of Medical Records: This specific type of affidavit is utilized in Social Security Disability claims and includes medical records that support the claimant's disability status, providing evidence of impairments and functional limitations. Understanding the various types of Mississippi Affidavits of Custodian of Medical Records ensures that the necessary information is accurately presented, tailored to the specific legal context and requirements of the case at hand.

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FAQ

In litigation, business records, such as medical records, are often allowed into evidence at trial with an affidavit signed by the Custodian of Records which states that the records are true and accurate, complete and maintained in the ordinary course of business.

The copying charge is set by Mississippi Code, Section 11-1- 52 as follows: Any medical provider or hospital or nursing home or other medical facility shall charge no more than the following amounts to patients or their representatives for photocopying any patient's records: Twenty Dollars ($20.00) for pages one (1) ...

On average, a health record book can cost you around $25 to $40.

Mississippi law states that medical records are the property of the entity that produced them, like a doctor's office, hospital, or after hours clinic. The patient, however, has the right to inspect and obtain a copy of the records during regular business hours.

It is permissible, based on the court's decision, to charge the statutory amount allowed by Alabama law - $1.00 per page for the first 25 pages, $0.50 for each page thereafter. However, you are not allowed to charge the search/retrieval fee of $5.00.

It is recommended that doctors keep medical records for at least 6 years. In practice, many health care providers keep their medical records longer. You have a right to see, get a copy of, and amend your medical record for as long as your health care provider has it. You have the right to see your medical record.

Texas Health and Safety Code §241.154 (Hospitals) A basic retrieval or processing fee not to exceed $45.79 for first 10 pages of records; then, $1.54 per page for pages 11-60. $0.76 per page for pages 61-400. $0.41 per page for any remaining pages.

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The records shall be accompanied by an affidavit of a custodian stating in substance: (a) that the affiant is a duly authorized custodian of the records and ... Obtain a printable Mississippi Affidavit of Custodian of Medical Records in just several clicks from the most extensive library of legal e-documents. Find, ...Attorney's name. Mississippi Bar identification number. Address. Telephone number. MWCC Form - Medical Records Affidavit (1993) (File original only) The document must be signed by both the patient and the custodian of records ... How to fill out Mississippi Medical Records Affidavit? Preparing official ... "Legal Representative" means an attorney, guardian, custodian, or in the ... executing a medical record affidavit, when the affidavit is requested by the patient. File with the Board a written request for the issuance of said subpoenas, identifying with certainty the identity and address of all individuals to be ... The chancery judge shall be the judge of the number and character of the witnesses and proof to be presented, except that the proof must include certificates ... If a request for medical records comes via subpoena, discovery request or any other court order, the provider must not ignore it. However, the consequences of ... (3) A custodian of medical records may provide a copy of the decedent's medical records to an heir upon receipt of an affidavit by the heir stating that he or ... To obtain copies of the medical record, the patient's written authorization must be signed and dated, and must include the name and address of the ...

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Mississippi Affidavit of Custodian of Medical Records