This form is used to certify the authenticity of medical records provided to the attorney by a medical provider.
West Virginia 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
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.
(a) The health care records of any person who is not a minor or not under a disability, or both, and who is under a physician's, osteopath's or dentist's care, shall be retained by the custodian of those records for seven years following the last date of treatment or contact.
To summarize, first, as to records: The records have to be authenticated by offering evidence that they were prepared by agents of the medical facility in the ordinary course of business at or near the time of the relevant act, condition or event contained in the records, and that the mode of preparation indicate the ...
ARTICLE 29. HEALTH CARE RECORDS. Notwithstanding any other section of the code or rule, the fees shall not exceed: (A) A search and handling fee of $20; (B) a per page fee of 40 cents for paper copies; and (C) postage, if the person requested that the records be mailed, plus any applicable taxes.
West Virginia Code §16-29-1 sets forth a patient's right to access his or her own medical records, and West Virginia Code §16-29-2 establishes the cost-based fees a practitioner may charge a patient for copies of medical records.
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 toll free 844-484-0304) Monday through Friday from 8 am ? 4 pm.
