Affidavit of Surviving Spouse or Next of Kin Seeking Access to Medical Records - New Hampshire

Affidavit of Surviving Spouse or Next of Kin Seeking Access to Medical Records - New Hampshire

Affidavit of Surviving Spouse or Next of Kin Seeking Access to Medical Records is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.

FAQ

Q: What is an Affidavit of Surviving Spouse or Next of Kin Seeking Access to Medical Records?
A: It is a legal document that allows a surviving spouse or next of kin to request access to the medical records of a deceased person in New Hampshire.

Q: Who can request access to medical records using this affidavit?
A: The surviving spouse or next of kin of a deceased person can request access to the medical records.

Q: Why would someone need to access medical records using this affidavit?
A: Someone might need to access medical records to gather information for legal or personal reasons, such as settling an estate or pursuing a medical malpractice claim.

Q: What is the process for obtaining access to medical records with this affidavit?
A: The person seeking access must fill out the affidavit, have it notarized, and submit it to the healthcare provider or facility where the records are held.

Q: Are there any fees involved in obtaining access to medical records?
A: There may be fees associated with obtaining medical records, such as copying or administrative fees. These fees vary depending on the healthcare provider or facility.

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Form Details:

  • The latest edition currently provided by the New Hampshire Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Affidavit of Surviving Spouse or Next of Kin Seeking Access to Medical Records - New Hampshire

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