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Filing # 163842923 E-Filed 12/29/2022 03:44:48 PM
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
VS.
VIRGINIA JEAN FISCHER
Defendant(s).
NOTICE OF PRODUCTION FROM NON-PARTY FOR DOCUMENTS
YOU ARE HEREBY notified that after (10) days from the date of service of this notice via email, if
no objection is received from any party, the undersigned will issue or apply to the Clerk of the Court for
issuance of the attached subpoenas directed to the records custodians from:
Pasco County Fire Rescue, 4111 Land O'Lakes Boulevard, Land O‘Lakes, FL 34639 (EMS Records)
TGH Urgent Care Fast Track, 4505 Gunn Highway, Tampa, FL 33624 (All Available (FL))
Surgery Center of Winter Park, 4355 Bear Gully Road, Winter Park, FL 32792 (All Available (FL))
Mid Florida Orthopaedic, 6919 N Dale Mabry Highway, Tampa, FL 33614 (All Available (FL))
Polk County Fire Rescue, 1295 Brice Boulevard, Bartow, FL 33830 (EMS Records)
AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital Records (FL))
AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital Radiology (FL))
AdventHealth Zephyrhills -- Billing, 12470 Telecom Drive, Tampa, FL 33613 (Billing Records)
Tampa Bay Emergency Physicians, 12479 Telecom Drive, Tampa, FL 33637 (All Available (FL))
Sheridan Radiology, 11460 N. Meridian Street, Carmel, IN 46032 (All Available (FL))
Ruffolo Hooper & Associates, 5755 Hoover Blvd., Tampa, FL 33634 (All Available (FL))
Electronically Filed Pasco Case # 2022CA001911CAAXES 12/29/2022 03:44:48 PM
Laboratory Corporation of America, c/o Corporation Service Company as Registered Agent, Tallahassee,
FL 32301 (All Available (FL))
Bay Area Injury Specialists, Inc. , 11801 N. Dale Mabry Hwy, Tampa, FL 33618 (All Available (FL))
Advanced Diagnostic Group, 1220 Oakfield Drive, Brandon, FL 33511 (All Available (FL))
who are non-parties to this suit, to produce the items listed at the time and place specified in the subpoena,
under the provisions of Florida Rules of Civil Procedure 1.351.
CERTIFICATE OF SERVICE
The document contains no confidential or sensitive information or that any such confidential or
sensitive language has been properly protected by complying with the provisions of Rule 2.420 and 2.425.
I HEREBY CERTIFY that a true copy of the foregoing has been furnished via email on the following date:
12/29/22, to the below listed recipients:
John Castro, Esquire, Ligori & Ligori, 1711 W. Kennedy Blvd., Tampa, FL 33606,
litserv@callmeonmycell.com, jcastro@callmeonmycell.com, Opposing Counsel
ISG
Brentwood Towne Centre
101 Towne Square Way, Ste 251
Pittsburgh, PA 15227
Telephone: 412.263.5656
Fax: 412.882.3477
On Behalf Of:
Lydecker LLP
390 N. Orange Avenue Suite 1295
Orlando, FL 32801
By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
County Clerk of Court: Pasco
Case No: 2022CA001911CAAXES
Case Name: Antarick Marque Wilson vs. Virginia Jean Fischer
Pleading: NPNP AND UNISSUED SUBPOENAS
Primary email: litserv@callmeonmycell.com
Secondary email: jcastro@callmeonmycell.com
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
VS.
VIRGINIA JEAN FISCHER
Defendant(s).
WAIVER & REQUEST FOR RECORD COPIES
RELATED TO SUBPOENA DOCUMENT REQUEST
senna senna se
Please Respond to Request for Waiver belo
THEREBY WAIVE IDO NOT WAIVE THE WAITING PERIOD
Counsel of Record Date
snot se se seme sent vo ann so so nnn srs
Please Respond to Record Copies below:
Copy Sets Requested:
Provider Name: -
Pasco County Fire Rescue, 4111 Land O'Lakes Boulevard, Land O‘Lakes, FL
34639 (EMS)
TGH Urgent Care Fast Track, 4505 Gunn Highway, Tampa, FL 33624 (All
Available (FL))
Surgery Center of Winter Park, 4355 Bear Gully Road, Winter Park, FL 32792 (All
Available (FL))
Mid Florida Orthopaedic, 6919 N Dale Mabry Highway, Tampa, FL 33614 (All
Available (FL))
Polk County Fire Rescue, 1295 Brice Boulevard, Bartow, FL 33830 (EMS)
AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital
Records (FL))
AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital
Radiology (FL))
AdventHealth Zephyrhills -- Billing, 12470 Telecom Drive, Tampa, FL 33613
(Financial / Billing)
Tampa Bay Emergency Physicians, 12479 Telecom Drive, Tampa, FL 33637 (All
Available (FL))
Sheridan Radiology, 11460 N. Meridian Street, Carmel, IN 46032 (All Available
(FL))
Ruffolo Hooper & Associates, 5755 Hoover Blvd., Tampa, FL 33634 (All Available
(FL)
Laboratory Corporation of America, c/o Corporation Service Company as
Registered Agent, Tallahassee, FL 32301 (All Available (FL))
Bay Area Injury Specialists, Inc. , 11801 N. Dale Mabry Hwy, Tampa, FL 33618
(All Available (FL))
Advanced Diagnostic Group, 1220 Oakfield Drive, Brandon, FL 33511 (All
Available (FL))
sos anon
Please return this completed form to ISG. Please be advised that ISG requires prepayment for all requested
records above. Therefore, once the requested records are obtained an invoice for prepayment will be
generated and sent directly to your attention. Once payment has been received the records will be promptly
forwarded to your attention.
If you should happen to have any questions or concerns regarding this matter, please don't hesitate to contact
Deanna Bauernfeind at 412.253.1107
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
VS.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: Advanced Diagnostic Group
1220 Oakfield Drive
Brandon, FL 33511
Attn: Records Department
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Please remit: a complete copy of any and all documents (listed below) in your possession:
e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms,
medical records with respect to any injury or illness, medical history, consultations, treatment,
patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records
(Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge
Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical
procedures and any other data pertaining to the diagnosis, treatment and care of the patient)
e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any
corresponding audit trail documents.
e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT
SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities.
All records requested should be all-inclusive and should be in no way limited to one date of incident.
The records should include any notations on the file jacket as well and any and all reports or
correspondence of other physicians or hospitals included in your file and all correspondence or any
other record of any kind or nature that you have in your possession regarding the treatment of
Plaintiff including, but not limited all records from the first date of treatment to the present. Please
also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM
FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY
RESPONSIVE CD.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the
Orlando, FL 32801 individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has clapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: AdventHealth Zephyrhills
7050 Gall Blvd
Zephyrhills, FL 33541
Attn: Radiology Films Library
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
PLEASE PROVIDE A LIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-
RAYS, MRI, CT SCAN FILMS or copies of any and all diagnostic testing results that are stored
electronically of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities, narrative
reports, office notes and reports of diagnostic and surgical procedures and any other data pertaining
to the diagnosis, treatment and care of the patient. All records requested should be all-inclusive and
should be in no way limited to one date of incident. The records should include any notations on the
file jacket as well and any and all reports or correspondence of other physicians or hospitals included
in your file and all correspondence or any other record of any kind or nature that you have in your
possession regarding the treatment of Plaintiff including, but not limited all records from the first
date of treatment to the present. Please also include a copy of the treating physician's CV. PLEASE
SEND ALL FILM CDS IN DICOM FORMAT AND BE SURE TO INCLUDE A LIST OF ALL
STUDIES CONTAINED ON ANY RESPONSIVE CD.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the
Orlando, FL 32801 individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has elapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: AdventHealth Zephyrhills
7050 Gall Blvd
Zephyrhills, FL 33541
Attn: Medical Records Department
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Any and All MEDICAL records, including but not limited to: office records, doctors and nurses
notes, insurance records, claim forms, medical records with respect to any injury or illness, medical
history, consultations, treatment, patient questionnaires, progress notes, laboratory reports, any
hospital and/or emergency room records (Emergency Room Physician Notes, Emergency Room
Nurses Notes, Emergency Room Discharge Summaries/Orders, Emergency Room Prescriptions, etc.),
reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis,
treatment and care of the patient. Please include all narrative reports and office notes. All records
requested should be all-inclusive and should be in no way limited to one date of incident. The records
should include any notations on the file jacket as well and any and all reports or correspondence of
other physicians or hospitals included in your file and all correspondence or any other record of any
kind of nature that you have in your possession regarding the treatment of the patient including, but
not limited to all records from the first date of treatment to the present. Please also include a copy of
the treating physician's CV.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the
Orlando, FL 32801 individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has elapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: AdventHealth Zephyrhills -- Billing
12470 Telecom Drive
Suite 500 W
Tampa, FL 33613
Attn: Billing Department
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Complete copy of any and all itemized bills (include ICD9/ICD10 & CPT codes) from DOB to
present, denials for inpatient and outpatient accounts, amount charged, amount paid by insurance or
Medicare, amount written off, audit trail, and any amount owed.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the
Orlando, FL 32801 individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has elapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: Bay Area Injury Specialists, Inc.
11801 N. Dale Mabry Hwy
Tampa, FL 33618
Attn: Records Department
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Please remit: a complete copy of any and all documents (listed below) in your possession:
e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms,
medical records with respect to any injury or illness, medical history, consultations, treatment,
patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records
(Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge
Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical
procedures and any other data pertaining to the diagnosis, treatment and care of the patient)
e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any
corresponding audit trail documents.
e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT
SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities.
All records requested should be all-inclusive and should be in no way limited to one date of incident.
The records should include any notations on the file jacket as well and any and all reports or
correspondence of other physicians or hospitals included in your file and all correspondence or any
other record of any kind or nature that you have in your possession regarding the treatment of
Plaintiff including, but not limited all records from the first date of treatment to the present. Please
also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM
FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY
RESPONSIVE CD.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
Thereby certify that written notice has been provided to the
individual, or the attorney for the individual, whose documents
390 N. Orange Avenue Suite 1295 are sought, that the notice included sufficient information
Orlando, FL 32801
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has elapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: Laboratory Corporation of America
c/o Corporation Service Company as Registered Agent
1201 Hays Street
Tallahassee, FL 32301
Attn: Records Department
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Please remit: a complete copy of any and all documents (listed below) in your possession:
e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms,
medical records with respect to any injury or illness, medical history, consultations, treatment,
patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records
(Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge
Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical
procedures and any other data pertaining to the diagnosis, treatment and care of the patient)
e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any
corresponding audit trail documents.
e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT
SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities.
All records requested should be all-inclusive and should be in no way limited to one date of incident.
The records should include any notations on the file jacket as well and any and all reports or
correspondence of other physicians or hospitals included in your file and all correspondence or any
other record of any kind or nature that you have in your possession regarding the treatment of
Plaintiff including, but not limited all records from the first date of treatment to the present. Please
also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM
FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY
RESPONSIVE CD.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the
Orlando, FL 32801 individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has clapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: Mid Florida Orthopaedic
6919 N Dale Mabry Highway
Suite 325
Tampa, FL 33614
Attn: Records Department
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Please remit: a complete copy of any and all documents (listed below) in your possession:
e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms,
medical records with respect to any injury or illness, medical history, consultations, treatment,
patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records
(Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge
Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical
procedures and any other data pertaining to the diagnosis, treatment and care of the patient)
e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any
corresponding audit trail documents.
e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT
SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities.
All records requested should be all-inclusive and should be in no way limited to one date of incident.
The records should include any notations on the file jacket as well and any and all reports or
correspondence of other physicians or hospitals included in your file and all correspondence or any
other record of any kind or nature that you have in your possession regarding the treatment of
Plaintiff including, but not limited all records from the first date of treatment to the present. Please
also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM
FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY
RESPONSIVE CD.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the
Orlando, FL 32801 individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has elapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE WILSON
Plaintiff(s),
vs.
VIRGINIA JEAN FISCHER
Defendant(s).
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
TO: Pasco County Fire Rescue
4111 Land O*Lakes Boulevard
#208
Land O'Lakes, FL 34639
Attn: EMS Records
You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way,
Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the
following for:
Name: Antarick Wilson
Complete copy of any and all records, including but not limited to medical records, trip sheets, bills
and reports pertaining to the above subject for any and all dates of accident from DOB to present.
These items will be inspected and may be copied at that time. You will not be required to surrender
the original items. You may comply with this subpoena by providing legible one-sided copies of the items
to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of
production. Please provide a copy of this Subpoena with your records. You may condition the
preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail
the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to
appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time
before production by giving written notice to the attorney whose name appears on this subpoena. THIS
WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the
records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are
subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena
by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service
charges is necessary, please fax a copy of the invoice to the following individual handling this matter
at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065,
412.882.3477.
Dated On:
For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA
REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS
Lydecker LLP
390 N. Orange Avenue Suite 1295
Orlando, FL 32801
Thereby certify that written notice has been provided to the
individual, or the attorney for the individual, whose documents
are sought, that the notice included sufficient information
about the litigation or proceeding to permit the individual to
raise an objection to the production of the requested
documents, and that the time to raise an objection has elapsed
and no objections were filed. These records will be used for this
litigation only and will be destroyed after litigation is
completed. This certificate is provided in the absence of an
executed authorization or Court Order pursuant to 45CFR
164.512.
Signed By: /s/ Vincent F. Iacono, Esquire
Vincent F. Iacono, Esquire
Florida Bar No. 43710
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special
accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent
F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records.
IN THE CIRCUIT COURT OF THE
SIXTH JUDICIAL CIRCUIT IN AND
FOR PASCO COUNTY, FLORIDA
CASE NO: 2022CA001911CAAXES
ANTARICK MARQUE
Preview
Filing # 163842923 E-Filed 12/29/2022 03:44:48 PM IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), VS. VIRGINIA JEAN FISCHER Defendant(s). NOTICE OF PRODUCTION FROM NON-PARTY FOR DOCUMENTS YOU ARE HEREBY notified that after (10) days from the date of service of this notice via email, if no objection is received from any party, the undersigned will issue or apply to the Clerk of the Court for issuance of the attached subpoenas directed to the records custodians from: Pasco County Fire Rescue, 4111 Land O'Lakes Boulevard, Land O‘Lakes, FL 34639 (EMS Records) TGH Urgent Care Fast Track, 4505 Gunn Highway, Tampa, FL 33624 (All Available (FL)) Surgery Center of Winter Park, 4355 Bear Gully Road, Winter Park, FL 32792 (All Available (FL)) Mid Florida Orthopaedic, 6919 N Dale Mabry Highway, Tampa, FL 33614 (All Available (FL)) Polk County Fire Rescue, 1295 Brice Boulevard, Bartow, FL 33830 (EMS Records) AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital Records (FL)) AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital Radiology (FL)) AdventHealth Zephyrhills -- Billing, 12470 Telecom Drive, Tampa, FL 33613 (Billing Records) Tampa Bay Emergency Physicians, 12479 Telecom Drive, Tampa, FL 33637 (All Available (FL)) Sheridan Radiology, 11460 N. Meridian Street, Carmel, IN 46032 (All Available (FL)) Ruffolo Hooper & Associates, 5755 Hoover Blvd., Tampa, FL 33634 (All Available (FL)) Electronically Filed Pasco Case # 2022CA001911CAAXES 12/29/2022 03:44:48 PM Laboratory Corporation of America, c/o Corporation Service Company as Registered Agent, Tallahassee, FL 32301 (All Available (FL)) Bay Area Injury Specialists, Inc. , 11801 N. Dale Mabry Hwy, Tampa, FL 33618 (All Available (FL)) Advanced Diagnostic Group, 1220 Oakfield Drive, Brandon, FL 33511 (All Available (FL)) who are non-parties to this suit, to produce the items listed at the time and place specified in the subpoena, under the provisions of Florida Rules of Civil Procedure 1.351. CERTIFICATE OF SERVICE The document contains no confidential or sensitive information or that any such confidential or sensitive language has been properly protected by complying with the provisions of Rule 2.420 and 2.425. I HEREBY CERTIFY that a true copy of the foregoing has been furnished via email on the following date: 12/29/22, to the below listed recipients: John Castro, Esquire, Ligori & Ligori, 1711 W. Kennedy Blvd., Tampa, FL 33606, litserv@callmeonmycell.com, jcastro@callmeonmycell.com, Opposing Counsel ISG Brentwood Towne Centre 101 Towne Square Way, Ste 251 Pittsburgh, PA 15227 Telephone: 412.263.5656 Fax: 412.882.3477 On Behalf Of: Lydecker LLP 390 N. Orange Avenue Suite 1295 Orlando, FL 32801 By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 County Clerk of Court: Pasco Case No: 2022CA001911CAAXES Case Name: Antarick Marque Wilson vs. Virginia Jean Fischer Pleading: NPNP AND UNISSUED SUBPOENAS Primary email: litserv@callmeonmycell.com Secondary email: jcastro@callmeonmycell.com IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), VS. VIRGINIA JEAN FISCHER Defendant(s). WAIVER & REQUEST FOR RECORD COPIES RELATED TO SUBPOENA DOCUMENT REQUEST senna senna se Please Respond to Request for Waiver belo THEREBY WAIVE IDO NOT WAIVE THE WAITING PERIOD Counsel of Record Date snot se se seme sent vo ann so so nnn srs Please Respond to Record Copies below: Copy Sets Requested: Provider Name: - Pasco County Fire Rescue, 4111 Land O'Lakes Boulevard, Land O‘Lakes, FL 34639 (EMS) TGH Urgent Care Fast Track, 4505 Gunn Highway, Tampa, FL 33624 (All Available (FL)) Surgery Center of Winter Park, 4355 Bear Gully Road, Winter Park, FL 32792 (All Available (FL)) Mid Florida Orthopaedic, 6919 N Dale Mabry Highway, Tampa, FL 33614 (All Available (FL)) Polk County Fire Rescue, 1295 Brice Boulevard, Bartow, FL 33830 (EMS) AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital Records (FL)) AdventHealth Zephyrhills, 7050 Gall Blvd, Zephyrhills, FL 33541 (Hospital Radiology (FL)) AdventHealth Zephyrhills -- Billing, 12470 Telecom Drive, Tampa, FL 33613 (Financial / Billing) Tampa Bay Emergency Physicians, 12479 Telecom Drive, Tampa, FL 33637 (All Available (FL)) Sheridan Radiology, 11460 N. Meridian Street, Carmel, IN 46032 (All Available (FL)) Ruffolo Hooper & Associates, 5755 Hoover Blvd., Tampa, FL 33634 (All Available (FL) Laboratory Corporation of America, c/o Corporation Service Company as Registered Agent, Tallahassee, FL 32301 (All Available (FL)) Bay Area Injury Specialists, Inc. , 11801 N. Dale Mabry Hwy, Tampa, FL 33618 (All Available (FL)) Advanced Diagnostic Group, 1220 Oakfield Drive, Brandon, FL 33511 (All Available (FL)) sos anon Please return this completed form to ISG. Please be advised that ISG requires prepayment for all requested records above. Therefore, once the requested records are obtained an invoice for prepayment will be generated and sent directly to your attention. Once payment has been received the records will be promptly forwarded to your attention. If you should happen to have any questions or concerns regarding this matter, please don't hesitate to contact Deanna Bauernfeind at 412.253.1107 IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), VS. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: Advanced Diagnostic Group 1220 Oakfield Drive Brandon, FL 33511 Attn: Records Department You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Please remit: a complete copy of any and all documents (listed below) in your possession: e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms, medical records with respect to any injury or illness, medical history, consultations, treatment, patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records (Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient) e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any corresponding audit trail documents. e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities. All records requested should be all-inclusive and should be in no way limited to one date of incident. The records should include any notations on the file jacket as well and any and all reports or correspondence of other physicians or hospitals included in your file and all correspondence or any other record of any kind or nature that you have in your possession regarding the treatment of Plaintiff including, but not limited all records from the first date of treatment to the present. Please also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY RESPONSIVE CD. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the Orlando, FL 32801 individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has clapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: AdventHealth Zephyrhills 7050 Gall Blvd Zephyrhills, FL 33541 Attn: Radiology Films Library You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson PLEASE PROVIDE A LIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X- RAYS, MRI, CT SCAN FILMS or copies of any and all diagnostic testing results that are stored electronically of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities, narrative reports, office notes and reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient. All records requested should be all-inclusive and should be in no way limited to one date of incident. The records should include any notations on the file jacket as well and any and all reports or correspondence of other physicians or hospitals included in your file and all correspondence or any other record of any kind or nature that you have in your possession regarding the treatment of Plaintiff including, but not limited all records from the first date of treatment to the present. Please also include a copy of the treating physician's CV. PLEASE SEND ALL FILM CDS IN DICOM FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY RESPONSIVE CD. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the Orlando, FL 32801 individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has elapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: AdventHealth Zephyrhills 7050 Gall Blvd Zephyrhills, FL 33541 Attn: Medical Records Department You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Any and All MEDICAL records, including but not limited to: office records, doctors and nurses notes, insurance records, claim forms, medical records with respect to any injury or illness, medical history, consultations, treatment, patient questionnaires, progress notes, laboratory reports, any hospital and/or emergency room records (Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient. Please include all narrative reports and office notes. All records requested should be all-inclusive and should be in no way limited to one date of incident. The records should include any notations on the file jacket as well and any and all reports or correspondence of other physicians or hospitals included in your file and all correspondence or any other record of any kind of nature that you have in your possession regarding the treatment of the patient including, but not limited to all records from the first date of treatment to the present. Please also include a copy of the treating physician's CV. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the Orlando, FL 32801 individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has elapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: AdventHealth Zephyrhills -- Billing 12470 Telecom Drive Suite 500 W Tampa, FL 33613 Attn: Billing Department You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Complete copy of any and all itemized bills (include ICD9/ICD10 & CPT codes) from DOB to present, denials for inpatient and outpatient accounts, amount charged, amount paid by insurance or Medicare, amount written off, audit trail, and any amount owed. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the Orlando, FL 32801 individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has elapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: Bay Area Injury Specialists, Inc. 11801 N. Dale Mabry Hwy Tampa, FL 33618 Attn: Records Department You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Please remit: a complete copy of any and all documents (listed below) in your possession: e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms, medical records with respect to any injury or illness, medical history, consultations, treatment, patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records (Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient) e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any corresponding audit trail documents. e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities. All records requested should be all-inclusive and should be in no way limited to one date of incident. The records should include any notations on the file jacket as well and any and all reports or correspondence of other physicians or hospitals included in your file and all correspondence or any other record of any kind or nature that you have in your possession regarding the treatment of Plaintiff including, but not limited all records from the first date of treatment to the present. Please also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY RESPONSIVE CD. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP Thereby certify that written notice has been provided to the individual, or the attorney for the individual, whose documents 390 N. Orange Avenue Suite 1295 are sought, that the notice included sufficient information Orlando, FL 32801 about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has elapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: Laboratory Corporation of America c/o Corporation Service Company as Registered Agent 1201 Hays Street Tallahassee, FL 32301 Attn: Records Department You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Please remit: a complete copy of any and all documents (listed below) in your possession: e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms, medical records with respect to any injury or illness, medical history, consultations, treatment, patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records (Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient) e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any corresponding audit trail documents. e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities. All records requested should be all-inclusive and should be in no way limited to one date of incident. The records should include any notations on the file jacket as well and any and all reports or correspondence of other physicians or hospitals included in your file and all correspondence or any other record of any kind or nature that you have in your possession regarding the treatment of Plaintiff including, but not limited all records from the first date of treatment to the present. Please also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY RESPONSIVE CD. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the Orlando, FL 32801 individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has clapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: Mid Florida Orthopaedic 6919 N Dale Mabry Highway Suite 325 Tampa, FL 33614 Attn: Records Department You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Please remit: a complete copy of any and all documents (listed below) in your possession: e MEDICAL records (office records, doctors and nurses notes, insurance records, claim forms, medical records with respect to any injury or illness, medical history, consultations, treatment, patient questionnaires, progress notes, laboratory reports, hospital and/or emergency room records (Emergency Room Physician Notes, Emergency Room Nurses Notes, Emergency Room Discharge Summaries/Orders, Emergency Room Prescriptions, etc.), reports of diagnostic and surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient) e BILLING RECORDS (statements reflecting charges, payments, and balance owing) and any corresponding audit trail documents. e ALIST PRIOR TO PRODUCTION of any and all DUPLICATES OF ALL X-RAYS, MRI, CT SCAN FILMS of the cervical, thoracic, lumbar spine, TMJ, hips, pelvis, and/or extremities. All records requested should be all-inclusive and should be in no way limited to one date of incident. The records should include any notations on the file jacket as well and any and all reports or correspondence of other physicians or hospitals included in your file and all correspondence or any other record of any kind or nature that you have in your possession regarding the treatment of Plaintiff including, but not limited all records from the first date of treatment to the present. Please also include a copy of the treating physicians CV. PLEASE SEND ALL FILM CDS IN DICOM FORMAT AND BE SURE TO INCLUDE A LIST OF ALL STUDIES CONTAINED ON ANY RESPONSIVE CD. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Thereby certify that written notice has been provided to the Orlando, FL 32801 individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has elapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE WILSON Plaintiff(s), vs. VIRGINIA JEAN FISCHER Defendant(s). SUBPOENA DUCES TECUM WITHOUT DEPOSITION TO: Pasco County Fire Rescue 4111 Land O*Lakes Boulevard #208 Land O'Lakes, FL 34639 Attn: EMS Records You are commanded to provide by mail to ISG, Brentwood Towne Centre, 101 Towne Square Way, Suite 251, Pittsburgh, PA, 15227, or electronically to www.litsol.com/filemail on or before 09/18/2022, the following for: Name: Antarick Wilson Complete copy of any and all records, including but not limited to medical records, trip sheets, bills and reports pertaining to the above subject for any and all dates of accident from DOB to present. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible one-sided copies of the items to be produced to ISG or the attorney whose name appears on this subpoena on or before the date of production. Please provide a copy of this Subpoena with your records. You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail the copies to ISG or to the attorney whose name appears on this subpoena and thereby eliminate the need to appear at a deposition. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) furnish the records as described above; or (2) fail to object to this subpoena, you may be in contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. If prepayment of service charges is necessary, please fax a copy of the invoice to the following individual handling this matter at ISG: Deanna Bauernfeind at phone number 412.253.1107 and fax number 412.253.1065, 412.882.3477. Dated On: For the Court: CERTIFICATION OF COMPLIANCE WITH HIPAA REQUIREMENTS FOR SUBPOENA OF MEDICAL RECORDS Lydecker LLP 390 N. Orange Avenue Suite 1295 Orlando, FL 32801 Thereby certify that written notice has been provided to the individual, or the attorney for the individual, whose documents are sought, that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of the requested documents, and that the time to raise an objection has elapsed and no objections were filed. These records will be used for this litigation only and will be destroyed after litigation is completed. This certificate is provided in the absence of an executed authorization or Court Order pursuant to 45CFR 164.512. Signed By: /s/ Vincent F. Iacono, Esquire Vincent F. Iacono, Esquire Florida Bar No. 43710 In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should contact ISG (866-574-7378) on behalf of Vincent F. Iacono, Esquire, no later than seven (7) days prior to the due date of the records. IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PASCO COUNTY, FLORIDA CASE NO: 2022CA001911CAAXES ANTARICK MARQUE