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.
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.
Form Details:
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.