Utah Affidavit of Custodian of Medical Records

State:
Multi-State
Control #:
US-PI-0007
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Word; 
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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 Utah Affidavit of Custodian of Medical Records is a legal document that pertains to the disclosure and transfer of medical records in the state of Utah. This affidavit serves as a formal declaration made by a custodian of medical records, typically a healthcare provider or facility, attesting to the authenticity, accuracy, and completeness of the medical records in their possession. The Utah Affidavit of Custodian of Medical Records is an essential component of various legal proceedings, such as personal injury cases, insurance claims, or medical malpractice lawsuits. It provides a means for individuals or their legal representatives to obtain relevant medical records to support their claims or to ensure proper medical treatment. This affidavit includes specific details about the custodian of medical records, such as their name, title, contact information, and the relationship they have with the medical facility or provider. It also identifies the patient whose records are being disclosed, including their full name, date of birth, and any other pertinent identification information. Additionally, the Utah Affidavit of Custodian of Medical Records states the purpose for which the medical records are being requested, ensuring that they are disclosed only for legitimate reasons permitted by law. This may include seeking compensation for injuries sustained, evaluating medical treatment options, or obtaining a second opinion from another healthcare provider. The affidavit also outlines the custodian's legal obligation to maintain the confidentiality of the medical records and to adhere to all relevant state and federal laws governing the privacy and security of patient information, such as the Health Insurance Portability and Accountability Act (HIPAA). Different types of Utah Affidavits of Custodian of Medical Records may exist depending on the specific purpose or context for which the records are being requested. For example, there may be separate affidavits for personal injury claims, workers' compensation cases, or disability benefit applications. Each type serves the same fundamental purpose of authenticating and authorizing the release of medical records to the requesting party. In summary, the Utah Affidavit of Custodian of Medical Records is a crucial legal document that enables individuals and their representatives to obtain necessary medical records for legal or medical purposes. It underscores the custodian's responsibility to safeguard patient confidentiality while facilitating the disclosure of relevant information.

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(e) Original medical records are the property of the hospital and shall not be removed from the control of the hospital or the hospital's agent as defined by policy except by court order or subpoena.

(b) may charge a reasonable fee for paper or electronic copies, but may not exceed the following rates: (i) $30 per request for locating a patient's records; (ii) reproduction charges may not exceed 53 cents per page for the first 40 pages and 32 cents per page for each additional page; (iii) the cost of postage when ...

$32.10* per request for locating a patient's records; b. 57 cents* per page for the first 40 pages, and 34 cents* per page for each additional page; c.

When the patient requests his or her own medical records, California law (Health & Safety Code §123110) allows health care providers to charge a patient or their legal representative a maximum of $0.25 per page or $0.50 per page for records copied from microfilm.

Utah law requires many health care providers to keep your medical record for a specific period of time. For example, hospitals must generally keep medical records at least 7 years. Hospital records of minors must be kept until the patient turns 22 or 7 years, whichever is longer.

What is a Medical Records Custodian? The medical records custodian is the person or company that has been designated to handle your private healthcare records so that you or your practice can be free of legal obligation and future medical record requests from patients.

If you think of a health record book as a paper organization system for keeping your health records, it will cost you about $25 to $40. Furthermore, if you implement electronic medical records (EMR) software, the cost will be about $300 to $700 per month, but with an initial cost of about $2,000 to $33,000.

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Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form". A person requesting medical ... The original affidavit, or a copy certified by the judge of the court or officer having it in custody, is prima facie evidence of the facts stated in the ...Utah State Hospital must have your permission to disclose records to a third party. Please complete the Authorization for Utah State Hospital to Disclose ... See the Disclosure and Discovery web page for more information. Steps for requesting a subpoena. Fill out the subpoena form, available in the Forms section ... * Patients will be able to sign request form, send back securely, and receive any requested medical record. Benefits of a Medical Records Custodian. Document ... The copy of the medical records attached to this affidavit is a true copy of all the records described in the subpoena duces tecum or search warrant; and c. The ... For Medical and Dental Records, please call (801) 878-5120 to request a release form and instructions on how to submit. The affidavit of custody is usually prepared by the parent or guardian seeking custody of the child and is submitted to the court as evidence. The affidavit ... University Health is committed to completing your medical records request in a timely manner. Call 210-358-5936, fax or visit our Medical Records ... by J Thomas · 2009 · Cited by 151 — The discharge summary should be signed or countersigned by the consultant. A copy of this must be preserved in the case file for future use if required.

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Utah Affidavit of Custodian of Medical Records