STATE
OF NORTH CAROLINA
COUNTY
OF DURHAM
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IN
THE GENERAL COURT OF JUSTICE
SUPERIOR COURT DIVISION
FILE NO. |
__________________,
Administratrix
of the Estate of __________________,
deceased, and ___________________,
Plaintiff,
vs.
__________________________
_______________, INC.
and
_____________________
Defendant.
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PLAINTIFFS' FIRST REQUEST
FOR PRODUCTION OF
DOCUMENTS
TO
DEFENDANT __________
_________________________
________________,INC. |
Pursuant to
Rule 34 of the North Carolina Rules of Civil
Procedure, plaintiffs request that the defendant
______________________. ("______________")
produce, for inspection and copying, the following
documents which are in the possession, custody or
control of defendant within forty-five (45) days of
the service of this request at the offices of
Bentley Law Offices, P.A., 400 West Main Street,
Suite 501, Durham, North Carolina, at 10:00 o'clock,
a.m. or at a time and place agreeable to the
parties.
1. Please
produce all documents pertaining to __________'s
efforts to obtain accreditation from, and to remove
contingencies created by, the Joint Commission on
Accreditation of Healthcare Organizations from
January 1, 1998, through the date of your response
to this request, including, but not limited to,
applications, attachments, correspondence, reports,
findings, and documents relating to site visits and
surveys. If such documents are not in your
possession, state the name, address, and title of
the persons or entities whom you believe have
custody of such documents.
RESPONSE:
2. All nursing staff
guidelines, all personnel policies, all policy and
procedure manuals.
RESPONSE:
3. All documents
regarding orientation of nurses.
RESPONSE:
4. All statements
obtained by you, whether written, typewritten,
tape-recorded, transcribed from a tape recording or
by stenographic means, or in any other form, or
anyone acting on your behalf, in connection with the
matters complained of in this action.
RESPONSE:
5. All
reports prepared by any and all expert witnesses you
expect to call to testify at the trial of this
action.
RESPONSE:
6. Any and all
documents, including, but not limited to, medical
records, in which the _____________ is mentioned or
discussed in any way or which relate in any way to
_________________'s medical and/or nursing care or
treatment from __________ from January, 2000 through
the present.
RESPONSE:
7.
All physicians' orders regarding the care to be
provided to ____________ at any time.
RESPONSE:
8. All
nursing plans, assessments and notes regarding care
provided to ____________.
RESPONSE:
9. Any and
all documents regarding any investigation made by
you or on your behalf regarding ____________and
____________'s medical and/or nursing care and
treatment from __________ from January, 2000 through
the present.
RESPONSE:
10. Any and all
reports or notices concerning any of the occurrences
complained of in this action given to any person or
organization including, but not limited to,
insurance companies or agents of any insurance
company.
RESPONSE:
11. Any and all documents in
connection with all lawsuits, other than the instant
action, in which __________ was or is a party.
RESPONSE:
12. All written
memoranda and minutes made of any meetings or other
discussions held by any organization at which the
occurrences complained of in this action were
discussed.
RESPONSE:
13. All progress
notes, reports, x-ray reports, correspondence, x-ray
requisition forms, appointment records, computer
disks, notes and records of telephone conversations
and other records and documents relating to the
care, treatment, and diagnosis of ____________ from
January, 2000 through July, 2000 from __________
other than those previously requested.
RESPONSE:
14. Applications for
employment and all other related documents,
regarding the application for employment by
__________ of __________
RESPONSE:
15. All documents
submitted and/or obtained by __________ in
connection with the application for employment of
__________.
RESPONSE:
16. Complete copies of
all documents in __________'s personnel file.
RESPONSE:
17. All documents and
records pertaining to the supervision of __________.
RESPONSE:
18. A copy of the
nursing license(s) of __________.
RESPONSE:
19. Please
produce a copy of all applications, attachments and
documents submitted by __________ to the North
Carolina Department of Human Resources Division of
Facility Services and to any other state and federal
agencies or departments for the purposes of
licensure, licensure renewal, and health care
financing during the period from January 1, 1998,
through the date of your response to this request.
RESPONSE:
20. Please
produce all medical, nursing and billing records,
documents and correspondence relating to such
records and statements of account, including the
results of all diagnostic studies, concerning the
plaintiff _______________.
RESPONSE:
21. All documents
identified in or relied upon by you in your
responses to Plaintiffs' First Set of
Interrogatories to Defendant __________, Inc.
RESPONSE:
22. Please produce copies of
all insurance policies under which __________ and/or
any of its employees, agents, or officers, is or may
be insured for liability with respect to the care
and/or treatment of ____________.
RESPONSE:
23. Please produce copies of
all Articles of Incorporation, Amendments, and
By-Laws of __________ that have been in effect
during 1998 through the date of your response to
this request.
RESPONSE
This the
__________ day of _________________, 2003.
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