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Certificate Of Service - Subpoena Duces Tecum For Medical Records - Maryland
|Certificate Of Service - Subpoena Duces Tecum For Medical Records Form. This is a Maryland form and can be used in Adjudication Claims Workers Compensation .||
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Certificate Of Service SUBPOENA DUCES TECUM for Medical Records Claim Number Claimant versus and Employer I nsurer CERTIFICATE OF SERVICE : I HEREBY CERTIFY that a copy of the Subpoena Duces Tecum for Medical Records was mailed, by ordinary mail, pos tage prepaid, this day of , 20 to at REQUESTING PARTY PRINTED NAME ADDRESS TELEPHONE NUMBER Note: Certificate of Service is only required for MEDICAL RECORDS, pursuant to the Annotated Code of Maryland, General Health, Section 4-306(b).