20 21 REQUEST FOR INFORMATION - INDIVIDUAL

• Jurisdiction: Arkansas
• Library: Arkansas Form Book - Complete (2023 Ed.)

20-21 REQUEST FOR INFORMATION - INDIVIDUAL

[date]

[attorney name]
Attorney at Law
[attorney address]

Re: [plaintiff name] v. [defendant name], Our File: [our file number]

Dear [attorney name]:

To defend [defendant name] in the above-referenced case, this Firm requires Plaintiff's medical records, which contain health information protected by private regulations codified at 45 C.F.R. Parts 160, 164, Subparts A and E (the "Privacy Rules"). The Privacy Rules require that we show that the person whose records...