Party Statement: MARIA ANSELMO vs. OSCAR SERRANO, et al

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                                FILED
                                                                                  5/24/2023 5:07 PM
                                                                                      FELICIA PITRE
                                                                                   DISTRICT CLERK
                                                                                DALLAS CO., TEXAS
                                                                             Steve Brashear DEPUTY


                               CAUSE NO. DC-23-002 18

MARIA ANSELMO                                     IN THE DISTRICT COURT OF




                                      §§§§§§§§§
VS.                                               DALLAS COUNTY, TEXAS


OSCAR SERRANO AND
BIANCA RODRIGUEZ                                  298TH JUDICIAL DISTRICT

      MEDICAL RECORDS AFFIDAVIT FROM ALLEVIATE PAIN CENTER, PLLC
                    FOR PLAINTIFF MARIA ANSELMO

        Please see attached.




MEDICAL RECORDS AFFIDAVIT FROM ALLEVIATE PAIN CENTER, PLLC FOR PLAINTIFF MARIA
ANSELMO
STATE OF TEXAS                      §
                                    §
COUNTY OF DALLAS                    §

                                 MEDICAL RECORDS AF’FIDA
                              FROM ALLEVIATE rm CENTER.
                              ‘




         BEFORE          ME,            the

         7W
                                                       undersigned             authority,         personally        appeared
                                                             , who, being by inc dul} sworn, dwased as folloWs‘:
Ell/m
    My'nameis
                         L/Ufijjjjm
making this afiidavit and personally acquainted with the facts stated herein.
                                                                                 Iam'       somdmindandcapableof


         I   am the custodian     of records of medical records affidavit from Alleviate Pain Center,

PLLCIamthepersoninehargeofrecords of'medical records affida tfiomAlleviatePain Center,
PLLC. Attached hereto are. L?      pages of records (“       s”) fi’om medical records
afidavit from Alleviate'Pain Center, PLLC for Maria Anselmo. Th                              V
                                                                                                said         j      of pages
of records are kept by medical records affidavit fi‘orn Alleviate Pain                            enter,   PLLC, in the regular
                                                                                            '
course   of business,    it is the regular course of business of
                        and                                                                     cal records affidavit fiom
Alleviate Pain Center, PLLC for an employee or representative of
                                                                                        ‘




Alleviate Pain Center, PLLC, with. either knowledge of the                                  out, conditions, opinion, or

diagnosis recorded, to'make the record or to transmit information tlr                              ftobeineludedinsuch
record; and therecordwasmadeat Ornearthefimeorreasonably                                           thereafter        e record's
arethe originals or exact duplicates of the originals.




                                                                     t

 SWORN TOAND SUBSCRIBED before me onthe                                   Li       day of        MN                  .2022.




                                                               (QM/U1
                                                             Noe-Q Pu'blfifim‘fe
                                                                                       of'lTxas

                                                      Frances      Cyanide
                                                         Agustina
                                                ”mafia.“ Common
                                              ‘59_




                                                                Expues
                                                        395/2012024
                                                             ID No 132487156
                                               11!.   mad-
                         Automated Certificate of eService
This automated certificate of service was created by the efiling system.
The filer served this document via email generated by the efiling system
on the date and to the persons listed below. The rules governing
certificates of service have not changed. Filers must still provide a
certificate of service that complies with all applicable rules.

Sulema Navarro on behalf of Andrew Rohe
Bar No. 24085562
snavarro@guerrerolaw.com
Envelope ID: 75979528
Filing Code Description: Correspondence - Letter To File
Filing Description: REGARDING FILING AFFIDAVITS
Status as of 5/25/2023 8:45 AM CST

Associated Case Party: OSCAR SERRANO

Name              BarNumber   Email                      TimestampSubmitted     Status
Vincent Lorento               DallasLegal@allstate.com   5/24/2023 5:07:57 PM   SENT


Associated Case Party: BIANCA RODRIGUEZ

Name              BarNumber   Email                      TimestampSubmitted     Status
Vincent Lorento               DallasLegal@allstate.com   5/24/2023 5:07:57 PM   SENT


Associated Case Party: MARIA ANSELMO

Name                BarNumber    Email                             TimestampSubmitted     Status
ANDREW D.ROHE                    AROHE@GUERREROLAW.COM 5/24/2023 5:07:57 PM               SENT
Sulema Navarro                   snavarro@guerrerolaw.com          5/24/2023 5:07:57 PM   SENT