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Attorney Representing a Duly Appointed Personal Representative

Attorneys representing a duly appointed personal representative have two options for requesting medical records.

Option One

1. A letter of request on your letterhead including the patient's name, incident date, incident time and incident location

2. A copy of the document by which the person is the duly appointed personal representative

3. A copy of the Death Certificate

4. An authorization releasing the record that:

  • Is in writing, dated and signed by the personal representative
  • Identifies Baltimore County Fire Department as the health care provider
  • Identifies the patient
  • Identifies to whom the record is to be provided
  • States the time period for which the authorization will be valid, which may not exceed one year

    Note: Authorizations missing any of the required elements will not be accepted.

Option Two

You also may send a letter of request including the patient's name, incident date, incident time and incident location, along with:

  • A copy of the document by which the duly appointed personal representative has appointed you to represent him or her
  • A copy of the document by which the person is the duly appointed personal representative
  • A copy of the Death Certificate

Regardless of which option you choose, send all required documentation with a check or money order in the amount of $15 payable to "Baltimore County Maryland" to:

Baltimore County Fire Department
Records Office
700 East Joppa Road
Towson, Maryland 21286-5500

 
Revised January 23, 2018         

 

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