On February 06, 2017 a
Order
was filed
involving a dispute between
Jackson, David,
Stinson, Elaine,
and
Kaufman, M.D., David,
Kick, M.D., Phillip,
Kim, M.D., Fred,
Urology Group Of Western New England, Pc,
Valley Medical Group Pc,
for Torts
in the District Court of Hampshire County.
Preview
37
ORDER FOR INSPECTION AND FOR COPIES OF CERTAIN Trial Court of Massachusetts
HOSPITAL RECORDS The Superior Court 3
(Request Pursuant to Superior Court Rule 13)
DOCKET NUMBER Harry Jekanowski, Jr., Clerk of Courts
1780CV00020
CASE NAME 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
KBEPER OF RECORDS FOR HOSPITALICLINIC/HEALTH CARE FACILITY:
Barbara Tomlinson, PT
Pursuant to G.L. c. 111,§70, as amended, and in accordance with Superior Court Rule 13, itis 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:
David Jackson
(D.O.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
(G.L. ¢. 114B, § 11, 6. 111E, § 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, ¢. 119, § 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 (GL. c. 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 professionals, licensed mental health counselors, clergymen,
psychotherapists, or sexual assault counselors (G.L. c. 112, §§129A, 135A, 1358, 172, 172A; G.L. ¢. 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.
7 2
DATE ISSUED JUDGE CLERK OF Cote sr ASST f 6
fe . a
06/19/2019 Hon. John A Agostini | x a ey os Y Lee e
Date/Time Printed: 06-19-2019 13:48:53 SCVIOGT OB/2017
Preview
37 ORDER FOR INSPECTION AND FOR COPIES OF CERTAIN Trial Court of Massachusetts HOSPITAL RECORDS The Superior Court 3 (Request Pursuant to Superior Court Rule 13) DOCKET NUMBER Harry Jekanowski, Jr., Clerk of Courts 1780CV00020 CASE NAME 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 KBEPER OF RECORDS FOR HOSPITALICLINIC/HEALTH CARE FACILITY: Barbara Tomlinson, PT Pursuant to G.L. c. 111,§70, as amended, and in accordance with Superior Court Rule 13, itis 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: David Jackson (D.O.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 (G.L. ¢. 114B, § 11, 6. 111E, § 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, ¢. 119, § 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 (GL. c. 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 professionals, licensed mental health counselors, clergymen, psychotherapists, or sexual assault counselors (G.L. c. 112, §§129A, 135A, 1358, 172, 172A; G.L. ¢. 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. 7 2 DATE ISSUED JUDGE CLERK OF Cote sr ASST f 6 fe . a 06/19/2019 Hon. John A Agostini | x a ey os Y Lee e Date/Time Printed: 06-19-2019 13:48:53 SCVIOGT OB/2017