Form 205. Defendant’s Requests for Production

Defendant’s Requests for Production

No. CV-

: SUPERIOR COURT

(Plaintiff)

: JUDICIAL DISTRICT OF

VS.

: AT

(Defendant)

: (Date)

The Defendant(s) hereby request(s) that the Plaintiff provide counsel for the Defendant(s) with

copies of the documents described in the following requests for production, or afford counsel for said

Defendant(s) the opportunity or, where requested, sufficient written authorization, to inspect, copy,

photograph or otherwise reproduce said documents. The production of such documents, copies or

written authorizations shall take place at the offices of

not later than

sixty (60) days after the service of the Requests for Production.

In answering these production requests, the Plaintiff(s) are required to provide all information within

their possession, custody or control. If any production request cannot be answered in full, answer to

the extent possible.

(1) All hospital records relating to treatment received as a result of the alleged incident, and to

injuries, diseases or defects to which reference is made in the answers to Interrogatories #19, #20,

#21 and #22, or written authorization, sufficient to comply with the provisions of the Health Insurance

Portability and Accountability Act (HIPAA), to inspect and make copies of said hospital records. Information obtained pursuant to the provisions of HIPAA shall not be used or disclosed by the parties for any

purpose other than the litigation or proceeding for which such information is requested.

#21 and #22, or written authorization, sufficient to comply with the provisions of the Health Insurance

Portability and Accountability Act (HIPAA), to inspect and make copies of said hospital records. Information obtained pursuant to the provisions of HIPAA shall not be used or disclosed by the parties for any

purpose other than the litigation or proceeding for which such information is requested.

(2) All reports and records of all doctors and all other care providers relating to treatment allegedly

received by the Plaintiff(s) as a result of the alleged incident, and to the injuries, diseases or defects

to which reference is made in the answers to Interrogatories #19, #20, #21 and #22 (exclusive of any

records prepared or maintained by a licensed psychiatrist or psychologist) or written authorization,

sufficient to comply with the provisions of the Health Insurance Portability and Accountability Act

(HIPAA), to inspect and make copies of said reports. Information obtained pursuant to the provisions

of HIPAA shall not be used or disclosed by the parties for any purpose other than the litigation or

proceeding for which such information is requested.

(3) If a claim for lost wages or lost earning capacity is being made, copies of, or sufficient written

authorization to inspect and make copies of, the wage and employment records of all employers of

the Plaintiff(s) for three (3) years prior to the date of the incident and for all years subsequent to the

date of the incident to and including the date hereof.

(4) If a claim of impaired earning capacity or lost wages is being alleged, provide copies of, or

sufficient written authorization to obtain copies of, that part of all income tax returns relating to lost

income filed by the Plaintiff(s) for a period of three (3) years prior to the date of the incident and for

all years subsequent to the date of the incident through the time of trial.

(5) All property damage bills that are claimed to have been incurred as a result of this incident.

pies of, or

sufficient written authorization to obtain copies of, that part of all income tax returns relating to lost

income filed by the Plaintiff(s) for a period of three (3) years prior to the date of the incident and for

all years subsequent to the date of the incident through the time of trial.

(5) All property damage bills that are claimed to have been incurred as a result of this incident.

(6) All medical bills that are claimed to have been incurred as a result of this incident or written

authorization, sufficient to comply with the provisions of the Health Insurance Portability and Accountability Act (HIPAA), to inspect and make copies of said medical bills. Information obtained pursuant to the

provisions of HIPAA shall not be used or disclosed by the parties for any purpose other than the

litigation or proceeding for which such information is requested.