Medical Records Health Information Management Manual

Medical Records Health Information Management Manual

5039 - Response to Subpoena Duces Tecum Form


Sample Content From 5039 - Response to Subpoena Duces Tecum Form

Snippets are randomly selected, unformatted passages from the Microsoft Word policy template.

Snippet

RE: Response to Subpoena Duces Tecum
Dear ____:
On (date) ____, we received the civil subpoena duces tecum you caused to be
issued or served in connection with the case of (plaintiff) ____ v.
(defendant) ____, case number ____.
You asked that the medical records of (name of patient) ____ be produced
pursuant to this subpoena.
However, we have noted that the subpoena duces tecum does not comply with the following applicable
statutory provision(s):
(check all that apply)

Second Snippet

The subpoena duces tecum was not served together with a supporting affidavit (i.e., Application for
Subpoena Duces Tecum or Application for Subpoena Duces Tecum Re Deposition).