Subpoena For Medical Records

TOM NAME, )

)

Plaintiff, )

)

v. ) No.

)

TIM SAME, )

Defendant. )

IMPORTANT

Notice to Witness

This Subpoena will notnecessitate your personal appearanceif you sign the enclosed statement and submit all your original records by the due date indicated on the Subpoena.

SUBPOENA

TO: University of Chicago Hospitals

5841 S. Maryland, Box 432

Chicago, IL 60637

YOU ARE COMMANDED to appear to produce your records before a notary public at 30 N. LaSalle Street, Room...