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Filing # 102722178 E-Filed 02/04/2020 01:57:15 PM
IN THE CIRCUIT COURT OF THE 15TH
JUDICIAL CIRCUIT IN AND FOR PALM
BEACH COUNTY, FLORIDA
CASE NO.: 50-2018-CA-15763-XXXX-
MB
ELIZABETH L. BALZARANO, Individually,
and as Personal Representative of the
ESTATE OF MICHELLE L. BALZARANO,
Plaintiffs,
v.
LIFELINE RECOVERY, LLC d/b/a LIFELINE
RECOVERY SUPPORT SERVICES, a
Foreign Corporation; JOHN BROGAN; LIFE
CHANGES ADDICTION TREATMENT
CENTER OF THE PALM BEACHES;
WARBIRD PROPERTIES, LLC,
d/b/a CAMERON VILLA, LLC, a Florida
Corporation;
EMILIO DUBOY, M.D.; and JANINE
BEATTIE, ARNP,
Defendants.
/
DEFENDANT’S SEVENTH REQUEST FOR PRODUCTION TO PLAINTIFF
Defendant, LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM
BEACHES, by and through undersigned counsel, pursuant to Rule 1.350, Florida Rules
of Civil Procedure, requests that the Plaintiff, ELIZABETH L. BALZARANO,
INDIVIDUALLY, AND AS PERSONAL REPRESENTATIVE OF THE ESTATE OF
MICHELLE L. BALZARANO, produce and permit the inspection and copying, within thirty
(30) days of service hereof, the following documents, writings, and other data, at the office
of the undersigned:
‘COLE, SCOTT & KISSANE, P.A.
COLE, SCOTT & KISSANE BUILDING - 8150 SOUTH DADELAND BOULEVARD - SUITE 1400 - P.O. BOX 589015 - MIAMI, FLORIDA 33256 - (308) 3560-5300 - (305) 573-2294 FAX
*** FILED: PALM BEACH COUNTY, FL SHARON R BOCK, CLERK. 02/04/2020 01:57:15 PM ***CASE NO.: 50-2018-CA-15763-XXXX-MB
1. An executed Consent for Release of Confidential Information in order to
obtain the records from New Hope Discovery Institute. (authorization is attached)
CERTIFICATE OF SERVICE
Februar
| HEREBY CERTIFY that on this 4th day of FeOUANY 390, a true and correct
copy of the foregoing was filed with the Clerk of Palm Beach County by using the Florida
Courts e-Filing Portal, which will send an automatic e-mail message to the following
parties registered with the e-Filing Portal system: Thomas D. Graham, Esq., Leesfield
Scolaro, P.A., 2350 So. Dixie Highway, Miami, FL 33133, Attorney for Plaintiff, Elizabeth
L. Balzarano, Thomas Scolaro, Esq., Leesfield Scolaro,
scolaro@leesfield.com;rose@leesfield.com;azcuy@leesfield.com, 2350 South Dixie
Highway, Miami, FL 33133, Attorney for Plaintiff, Elizabeth L. Balzarano and Noelle
Sheehan, Esq., Wilson Elser Moskowitz Edelman & Dicker, LLP,
Tai. Phetsanghane@wilsonelser.com;Noelle.Sheehan@wilsonelser.com;Denise.Lendwa
y@wilsonelser.com;Alejandra.Boscan@wilsonelser.com, 111 N. Orange Ave., Suite
1200, Orlando, FL 32801, Attorney for Defendant, Emilio Duboy.
COLE, SCOTT & KISSANE, P.A.
Counsel for Defendant Life Changes Addiction
Treatment Center of the Palm Beaches
Cole, Scott & Kissane Building
9150 South Dadeland Boulevard, Suite 1400
P.O. Box 569015
Miami, Florida 33256
Telephone (954) 703-3770
Facsimile (305) 373-2294
Primary e-mail: alyssa.tornberg@csklegal.com
Secondary e-mail: jonathan.midwall@csklegal.com
Alternate e-mail: omaira.garcia@csklegal.com
By: _s/ Jonathan M. Midwall
JONATHAN M. MIDWALL
Florida Bar No.: 182011
ALYSSA M. TORNBERG
Florida Bar No.: 127409
1943.0485-00/17171013
Page 2
COLE, SCOTT & KISSANE, P.A.
COLE, SCOTT & KISSANE BUILDING - 9150 SOUTH DADELAND BOULEVARD - SUITE 1400 - P.O. 8X’ 589015 - MIAMI, FLORIDA 33256 - (305) 350-5300 - (905) 973-2294 FAXConsent for the Release Of Conti formation:
1 Michelle Balzacan ° hereby consent to communication
(name of patient) :
Between Hope Foundation and 7
Sonathan Widwa ES@,9150_S. DARE LymD Suv dsFi'too
Cndividual and/or Agencies) WALATVU , FL. B21
‘The purpose of and need for the disclosure is to inform those listed above of:
On Aotny Lidia ation
T understand that. my alcohol ahd / or treatment records are protected under the federal
regulations governing C onfidentiality of Alcobol aud Drug A buse P atient Records, 42
“CER, Part 2, and the Health Insurance Portability and Accountability Act of 1996
CHIPAA"), 45, CER. pts.160 & 164, and cannet be disclosed without my written
consent unless otherwise provided for in the regulations. I also understand that recipients
of this information may re-disclose it only in. connection with their official duties.
This consextt for the réleasé of confidential information expires:
(Describe the date, event, or condition upon which this consent expires)
J understand that‘genérally, New Hope Foundation may not condition my treatment on,
whether I sign a consent form, but in certain, limited circumstances Tmay be denied
treatnent if I do not sign a consent form.
" Signature of Client Date (Signature of parent, guardian or Date
authorized representative
Witness ; Date
" NHIF# 080 — October 2003
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Filing # 102722178 E-Filed 02/04/2020 01:57:15 PM IN THE CIRCUIT COURT OF THE 15TH JUDICIAL CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA CASE NO.: 50-2018-CA-15763-XXXX- MB ELIZABETH L. BALZARANO, Individually, and as Personal Representative of the ESTATE OF MICHELLE L. BALZARANO, Plaintiffs, v. LIFELINE RECOVERY, LLC d/b/a LIFELINE RECOVERY SUPPORT SERVICES, a Foreign Corporation; JOHN BROGAN; LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES; WARBIRD PROPERTIES, LLC, d/b/a CAMERON VILLA, LLC, a Florida Corporation; EMILIO DUBOY, M.D.; and JANINE BEATTIE, ARNP, Defendants. / DEFENDANT’S SEVENTH REQUEST FOR PRODUCTION TO PLAINTIFF Defendant, LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES, by and through undersigned counsel, pursuant to Rule 1.350, Florida Rules of Civil Procedure, requests that the Plaintiff, ELIZABETH L. BALZARANO, INDIVIDUALLY, AND AS PERSONAL REPRESENTATIVE OF THE ESTATE OF MICHELLE L. BALZARANO, produce and permit the inspection and copying, within thirty (30) days of service hereof, the following documents, writings, and other data, at the office of the undersigned: ‘COLE, SCOTT & KISSANE, P.A. COLE, SCOTT & KISSANE BUILDING - 8150 SOUTH DADELAND BOULEVARD - SUITE 1400 - P.O. BOX 589015 - MIAMI, FLORIDA 33256 - (308) 3560-5300 - (305) 573-2294 FAX *** FILED: PALM BEACH COUNTY, FL SHARON R BOCK, CLERK. 02/04/2020 01:57:15 PM ***CASE NO.: 50-2018-CA-15763-XXXX-MB 1. An executed Consent for Release of Confidential Information in order to obtain the records from New Hope Discovery Institute. (authorization is attached) CERTIFICATE OF SERVICE Februar | HEREBY CERTIFY that on this 4th day of FeOUANY 390, a true and correct copy of the foregoing was filed with the Clerk of Palm Beach County by using the Florida Courts e-Filing Portal, which will send an automatic e-mail message to the following parties registered with the e-Filing Portal system: Thomas D. Graham, Esq., Leesfield Scolaro, P.A., 2350 So. Dixie Highway, Miami, FL 33133, Attorney for Plaintiff, Elizabeth L. Balzarano, Thomas Scolaro, Esq., Leesfield Scolaro, scolaro@leesfield.com;rose@leesfield.com;azcuy@leesfield.com, 2350 South Dixie Highway, Miami, FL 33133, Attorney for Plaintiff, Elizabeth L. Balzarano and Noelle Sheehan, Esq., Wilson Elser Moskowitz Edelman & Dicker, LLP, Tai. Phetsanghane@wilsonelser.com;Noelle.Sheehan@wilsonelser.com;Denise.Lendwa y@wilsonelser.com;Alejandra.Boscan@wilsonelser.com, 111 N. Orange Ave., Suite 1200, Orlando, FL 32801, Attorney for Defendant, Emilio Duboy. COLE, SCOTT & KISSANE, P.A. Counsel for Defendant Life Changes Addiction Treatment Center of the Palm Beaches Cole, Scott & Kissane Building 9150 South Dadeland Boulevard, Suite 1400 P.O. Box 569015 Miami, Florida 33256 Telephone (954) 703-3770 Facsimile (305) 373-2294 Primary e-mail: alyssa.tornberg@csklegal.com Secondary e-mail: jonathan.midwall@csklegal.com Alternate e-mail: omaira.garcia@csklegal.com By: _s/ Jonathan M. Midwall JONATHAN M. MIDWALL Florida Bar No.: 182011 ALYSSA M. TORNBERG Florida Bar No.: 127409 1943.0485-00/17171013 Page 2 COLE, SCOTT & KISSANE, P.A. COLE, SCOTT & KISSANE BUILDING - 9150 SOUTH DADELAND BOULEVARD - SUITE 1400 - P.O. 8X’ 589015 - MIAMI, FLORIDA 33256 - (305) 350-5300 - (905) 973-2294 FAXConsent for the Release Of Conti formation: 1 Michelle Balzacan ° hereby consent to communication (name of patient) : Between Hope Foundation and 7 Sonathan Widwa ES@,9150_S. DARE LymD Suv dsFi'too Cndividual and/or Agencies) WALATVU , FL. B21 ‘The purpose of and need for the disclosure is to inform those listed above of: On Aotny Lidia ation T understand that. my alcohol ahd / or treatment records are protected under the federal regulations governing C onfidentiality of Alcobol aud Drug A buse P atient Records, 42 “CER, Part 2, and the Health Insurance Portability and Accountability Act of 1996 CHIPAA"), 45, CER. pts.160 & 164, and cannet be disclosed without my written consent unless otherwise provided for in the regulations. I also understand that recipients of this information may re-disclose it only in. connection with their official duties. This consextt for the réleasé of confidential information expires: (Describe the date, event, or condition upon which this consent expires) J understand that‘genérally, New Hope Foundation may not condition my treatment on, whether I sign a consent form, but in certain, limited circumstances Tmay be denied treatnent if I do not sign a consent form. " Signature of Client Date (Signature of parent, guardian or Date authorized representative Witness ; Date " NHIF# 080 — October 2003