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  • Kielson, David et al vs. Cooley Dickinson Hospital et al Malpractice - Medical document preview
  • Kielson, David et al vs. Cooley Dickinson Hospital et al Malpractice - Medical document preview
  • Kielson, David et al vs. Cooley Dickinson Hospital et al Malpractice - Medical document preview
  • Kielson, David et al vs. Cooley Dickinson Hospital et al Malpractice - Medical document preview
						
                                

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COMMONWEALTH OF MASSACHUSETTS Hampshire, ss. Superior Court Department of the Trial Court Civil Action No.: 2015-0130 DAVID KIELSON, et al., Plaintiffs APPLICATION FOR INSPECTION AND FOR COPIES OF MEDICAL RECORDS OF BAYSTATE NEUROSURGER Y}AMPSHIRE SUPERIOR COURT JUL 07 2016 dA. Vv. COOLEY DICKINSON HOSPITAL, INC., et al., > Whe Defendants HARRY Ick Now comes the defendant, Brian Johnson, M.D. (hereinafter “Defendant”), in the above- » entitled action and say that plaintiffs, David Kielson and Gail Kielson (hereinafter “Plaintiffs”), have brought against him an action of personal injuries; that Defendant is informed and believes that plaintiff, David Kielson (hereinafter “Mr. Kielson”), has received medical care and treatment at Baystate Neurosurgery, 2 Medical Center Drive, Suite 503, Springfield, MA 01107; . oN that Baystate Neurosurgery will not furnish a copy of its records to Defendant without either Qo. the consent of Mr. Kielson or a judicial order. Plaintiffs are claiming exacerbation of Mr. S&S Kielson’s dementia requiring treatment by neuropsychologists and have identified Baystate Neurosurgery as one of Mr. Kielson’s providers. Wherefore, Defendant, in accordance with Sup. Ct. Rule 13, respectfully requests the Court to order and direct Baystate Neurosurgery to permit Defendant, or its attorneys, to inspect the medical records of Baystate Neurosurgery, including but not limited to, any information, records or designated record set which may 1) pertain to the identity, diagnosis, prognosis or treatment for alcohol or drug abuse; 2) contain confidential communications with or informationit about or acquired by social workers in their capacity; or 3) contain confidential communications with or information about or acquired by psychiatrists, psychologists, or psychotherapists, concerning plaintiff, David Kielson, and to furnish to Defendant, or his attorneys, upon payment of a reasonable fee therefor, a certified or attested copy of said records, as set forth in the attached proposed order. Dated: July 5, 2016 The Defendant BRIAN JOHNSON, M.D. By His Attorneys: A ee Michael H. Burke, BBO No. 065400 Allison K. Murphy, BBO No. 690409 Bulkley, Richardson and Gelinas, LLP 1500 Main Street - Suite 2700 P.O. Box 15507 Springfield, MA 01115 (413) 781-2820; (413) 272-6803 Fax mburke@bulkley.com amurphy@bulkley.com Certificate of Service I, Allison K. Murphy, attorney for the defendant, Brian Johnson, M.D., in this above matter, hereby certify that a true copy of the above document was served upon the attorney of record for each party by mail on July 5, 2016. A aa Allison K. Murphy