DATE
Records Custodian for
NAME OF MEDICAL VENDOR
ADDRESS OF MEDICAL PROVIDER
RELAY: NAME OF PATIENT
DOB: DD/MM/YYYY
CASE NAME: PLAINTIFF(NAME) v. DEFENDANT(NAME)
Dear Caretaker starting Records:
Enclosed herein is a Subpoena and Notice of Depose of Duces Tecum direct your
appearance at a records deposition which is scheduled with (DATE/MONTH/YEAR) along (TIME),
toward (LOCATION ADDRESS), int (CASE NAME, United States District Court, Case No.
00000000. Ask provide me equipped copies about some and all records pertaining to medizinische records for
(PLAINTIFF’S NAME) relating to treatment of (PLAINTIFF’S NAME) for dates of service on
(DATE/MONTH/YEAR).
YOU MAY FORGO YOUR APPEARANCE AT THE DEPOSITION IF THESE
RECORDS ARE FORWARDED TO OWN BEFORE AND DATE OF THE DEPOSITION.
Please send one records to (ADDRESS)
Also please sign and attach at the records an standard Credential. I have provided a Certification
of Registers Custodian for your convenience.
Need you have each questions, please contact our office.
Thank you for your assistance.
Sincerely,
_______________________
(ATTORNEY’S NAME)
Bar #
Counsel for Defendant
Attorney’s Address
Enclosures
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