West Virginia Affidavit of Custodian of Medical Records

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

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 West Virginia Affidavit of Custodian of Medical Records is a legal document used to attest to the authenticity and accuracy of medical records in the state of West Virginia. This affidavit is crucial in legal proceedings where medical records are required as evidence. The purpose of the West Virginia Affidavit of Custodian of Medical Records is to certify that the custodian of medical records has thoroughly examined the records in question and deems them to be accurate and complete. It serves as a declaration under oath, affirming that the custodian holds the original medical records and that they have not been tampered with or altered. Keywords: West Virginia, Affidavit of Custodian, Medical Records, legal document, authenticity, accuracy, evidence, medical records, legal proceedings, custodian, examination, accurate, complete, original, tampered with, altered. There may be different types of West Virginia Affidavits of Custodian of Medical Records based on the specific purpose or circumstances: 1. General Affidavit of Custodian of Medical Records: The most common type, this affidavit is used to certify the authenticity and accuracy of medical records in any legal proceeding, be it personal injury claims, medical malpractice lawsuits, or disability cases. 2. Workers' Compensation Affidavit of Custodian of Medical Records: This type of affidavit is specifically tailored for cases related to workers' compensation. It confirms the accuracy of medical records related to a worker's injury or illness, ensuring proper compensation is provided. 3. Family Law Affidavit of Custodian of Medical Records: This affidavit is relevant in family law cases, such as child custody disputes or divorce proceedings, where medical records may be used to demonstrate the physical or mental health of a party involved. 4. Criminal Law Affidavit of Custodian of Medical Records: This type of affidavit is utilized in criminal cases, where medical records may be crucial to prove or disprove a defendant's claim, mental state, or provide evidence of injuries sustained. 5. Employment Law Affidavit of Custodian of Medical Records: This affidavit pertains to employment-related legal matters such as workplace accidents or discrimination claims. It verifies the accuracy and authenticity of medical records related to the employee's injury or illness. Note: The specific types mentioned above are hypothetical and may vary depending on the legal context and requirements. It is essential to consult with legal professionals and review the applicable laws and regulations in West Virginia when dealing with Affidavits of Custodian of Medical Records.

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FAQ

HEALTH CARE RECORDS. §16-29-3. Retention and destruction of health care records. (a) The health care records of all persons who are not minors or under a disability, or both, shall be retained by the custodian of such records for ten years following the last date of treatment or contact.

§16-29-2. (a) A provider may charge a patient or the patient's personal representative no more than a fee consistent with HIPAA, as amended, and any rules promulgated pursuant to HIPAA, plus any applicable taxes.

Call the appropriate divisional office (shown here): You will need to provide a case name and/or number and, if known, a document number. The Clerk's Office may calculate cost and provide a copy of the document(s) upon receipt payment.

Unless the person requesting the record specifically requests a paper copy, the records can be delivered in electronic or digital form and the per page fee cannot exceed 20 cents per page, not to exceed $150 inclusive of all fees, except for applicable taxes.

HEALTH CARE RECORDS. §16-29-3. Retention and destruction of health care records. (a) The health care records of all persons who are not minors or under a disability, or both, shall be retained by the custodian of such records for ten years following the last date of treatment or contact.

The length of time your clinic or hospital is required to hold onto your medical records is called the medical record retention period. Most states' retention periods vary between 5-10 years after the last visit, and after the mandated length of time, your provider is allowed to dispose of your records.

Ing to the HIPAA laws, health records must be kept for fifty years after a person is dead. However, some states only have a five to ten years retention period.

To obtain records, a patient, his or her personal representative as defined by HIPAA, or his or her authorized agent or authorized representative must submit a written request with the health care provider. The provider must furnish a copy of the records within 30 days of receiving the request.

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... the record must be certified by affidavit, a $10 fee can be charged. If the patient or patient representative agrees to an explanation or summary of the records ... 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 has ...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 ... As you complete the affidavit please make sure to explain how you attempted to ... This consent form is promulgated pursuant to West Virginia Code § 49-11 et seq. Apr 9, 2014 — Virginia Notaries may certify true copies of any document except a document in the custody of a court, vital records such as birth, death and ... Form No.Description of FormSignatoryGC 6Statement of Financial Resources (Summary Form)PetitionerGC 14Oath of AppointmentAny Authorized OfficialGC 15Designation of Resident AgentAny Authorized Official I,. , a licensed physician in the State of. , hereby certify that I have examined and/or evaluated the condition of. [insert name of alleged protected ... To obtain medical records, you may now request your records by using the records request tool, through MyWVUChart, email, mail, or calling 304-598-4110 (or ... §63-. 1-126. The form below may be used to create the certifying affidavit of the custodian or other qualified person to comply with the reporting requirements. a.2.B. In all cases, the new certificate shall show the date the amendment was made and be given the same State file number as the existing certificate.

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West Virginia Affidavit of Custodian of Medical Records