Preview
ORDER FOR INSPECTION AND FOR COPIES OF CERTAIN { Trial Court of Massachusetts
HOSPITAL RECORDS | The Superior Court
(Request Pursuant to Superior Court Rule 13) t
DOCKET NUMBER Harry Jekanowski, Jr., Clerk of Courts
1780CV00020
CASE NAME 7 ~T COURT NAME & ADDRESS
David Jackson Individually and as PPA for Emma Jackson and Carys | Hampshire County Superior Court
Jackson et al 15 Gothic Street
vs. P.O. Box 1119
David Kaufman, M.D. et al Northampton, MA 01061
EEPER OF RECORDS FOR HOSPITAL/CLINIC/HEALTH CARE FACILITY:
Cooley Dickinson Hospital, Inc.
Pursuant to G.L. c. 111,§70, as amended, and in accordance with Superior Court Rule 13, it is hereby ORDERED that
the keeper of records at the above named hospital, clinic, or health care facility, permit:
Frangie, Esq., Frederick Paul
to inspect the records concerning or relating to:
t David Jackson
(D.0.B,) 1/29/1955
and to furnish to said attorney(s) or party, certified or attested copies of said records upon the payment of a reasonable fee.
TIME FRAME: The records shall include only documents created or dated 5 or fewer years before the date of this order
unless another time frame appears here:
EXCEPTIONS: This order does not authorize or require production of any records of the following, unless expressly ordered
by the Court:
a. The following subject matters protected by specific statute: HIV or AIDS (G.L. c. 111, § 70F); venereal disease (G.L.c, 111,
§ 119); alcoholism treatment, drug rehabilitation, and federally conducted, regulated or assisted substance abuse treatment
(GL. c. 111B, § 11, c. 114E, § 18; 42 U.S.C. §§ 290dd-2, 290ee-3), emergency treatment of minors and reports concerning
suspected abuse, neglect, or injury to minors (G.L. c, 112, § 12F, c, 149, § 51A-E); domestic violence counseling (G.L. c. 233,
§ 20K); patient records for persons committed for treatment in mental health facilities (G.L. c. 123 § 36); court records
concerning a minor's abortion (G.L. ¢, 112, § 128), genetic tests, reports, and records (G.L. c. 111, § 70G); and Mammograms
(films), reports, and other related medical records (105 Code of Mass. Regs. § 127.020); and
b. Confidential communications with any or all of the following - licensed psychologists, licensed social workers, domestic
violence counselors, allied mental health or human services prefessionals, licensed mental health counselors, clergymen,
psychotherapists, or sexual assault counselors (G.L. c, 112, §§129A, 135A, 135B, 172, 172A; G.L. c, 233, §§20A, 20B, 204).
itis further ORDERED that the parties are hereby prohibited from using or disclosing the records produced hereunder
for any purpose other than this litigation, and that the documents provided pursuant to this order are destroyed upon
completion of this action or any subsequent appeal.
DATE ISSUED JuDGe CLERK OF —PerE f é. 4]
| 06/19/2018 Hon. John A Agostini mR Bau
DateTime Printed: 05-16-2019 11:55:68 ‘SCV IDE 082077
Preview
ORDER FOR INSPECTION AND FOR COPIES OF CERTAIN { Trial Court of Massachusetts HOSPITAL RECORDS | The Superior Court (Request Pursuant to Superior Court Rule 13) t DOCKET NUMBER Harry Jekanowski, Jr., Clerk of Courts 1780CV00020 CASE NAME 7 ~T COURT NAME & ADDRESS David Jackson Individually and as PPA for Emma Jackson and Carys | Hampshire County Superior Court Jackson et al 15 Gothic Street vs. P.O. Box 1119 David Kaufman, M.D. et al Northampton, MA 01061 EEPER OF RECORDS FOR HOSPITAL/CLINIC/HEALTH CARE FACILITY: Cooley Dickinson Hospital, Inc. Pursuant to G.L. c. 111,§70, as amended, and in accordance with Superior Court Rule 13, it is hereby ORDERED that the keeper of records at the above named hospital, clinic, or health care facility, permit: Frangie, Esq., Frederick Paul to inspect the records concerning or relating to: t David Jackson (D.0.B,) 1/29/1955 and to furnish to said attorney(s) or party, certified or attested copies of said records upon the payment of a reasonable fee. TIME FRAME: The records shall include only documents created or dated 5 or fewer years before the date of this order unless another time frame appears here: EXCEPTIONS: This order does not authorize or require production of any records of the following, unless expressly ordered by the Court: a. The following subject matters protected by specific statute: HIV or AIDS (G.L. c. 111, § 70F); venereal disease (G.L.c, 111, § 119); alcoholism treatment, drug rehabilitation, and federally conducted, regulated or assisted substance abuse treatment (GL. c. 111B, § 11, c. 114E, § 18; 42 U.S.C. §§ 290dd-2, 290ee-3), emergency treatment of minors and reports concerning suspected abuse, neglect, or injury to minors (G.L. c, 112, § 12F, c, 149, § 51A-E); domestic violence counseling (G.L. c. 233, § 20K); patient records for persons committed for treatment in mental health facilities (G.L. c. 123 § 36); court records concerning a minor's abortion (G.L. ¢, 112, § 128), genetic tests, reports, and records (G.L. c. 111, § 70G); and Mammograms (films), reports, and other related medical records (105 Code of Mass. Regs. § 127.020); and b. Confidential communications with any or all of the following - licensed psychologists, licensed social workers, domestic violence counselors, allied mental health or human services prefessionals, licensed mental health counselors, clergymen, psychotherapists, or sexual assault counselors (G.L. c, 112, §§129A, 135A, 135B, 172, 172A; G.L. c, 233, §§20A, 20B, 204). itis further ORDERED that the parties are hereby prohibited from using or disclosing the records produced hereunder for any purpose other than this litigation, and that the documents provided pursuant to this order are destroyed upon completion of this action or any subsequent appeal. DATE ISSUED JuDGe CLERK OF —PerE f é. 4] | 06/19/2018 Hon. John A Agostini mR Bau DateTime Printed: 05-16-2019 11:55:68 ‘SCV IDE 082077