New Hampshire Revised Statutes 332-I:13 – Medical Records of Deceased Spouse or Next of Kin
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I. Where there is no estate administration, the surviving spouse or next of kin of the deceased is designated the personal representative of the deceased for the limited purpose of obtaining the medical records of the deceased. Such authority shall automatically cease upon the initiation of estate administration or the death of the surviving spouse or next of kin.
II. (a) “Next of kin” means:
(1) Adult child by blood or adoption only in the absence of a surviving spouse.
(2) Parent, only in the absence of a surviving spouse or adult child.
(b) If 2 or more relatives in the same category qualify as next of kin, each shall be considered the deceased’s personal representative under this section.
III. (a) Where there is no estate administration, the requestor shall provide:
(1) A notarized affidavit, pursuant to paragraph VII, indicating he or she is authorized to access the patient’s records;
(2) An authorization in compliance with the federal Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. § 1320d et seq., and the regulations implementing such act (“HIPAA”); and
(3) A copy of the death certificate.
(b) Upon request, a health care provider, as defined in N.H. Rev. Stat. § 332-I:1, II(b), shall provide the surviving spouse or next of kin with a copy of the legal medical records of the deceased, unless the deceased has indicated or any court of competent jurisdiction has ordered that the surviving spouse or next of kin not have access to those records. The health care provider shall provide such records within the time frame established under 45 C.F.R. § 164.524(b)(2). Requests under this subparagraph shall be valid within the time frame established under N.H. Rev. Stat. § 508:4.
(c) A health care provider shall not release mental health records or other medical records afforded additional privacy protection under other state or federal law.
IV. A health care provider shall not be required to initiate a conversation with a patient on the subject of access to the information in a medical record by a surviving spouse or next of kin.
V. Any provider shall be justified in relying upon the affidavit provided in accordance with paragraph III.
VI. Any provider or person who in good faith releases copies of medical records in accordance with this section shall not have violated any criminal law or be civilly liable to the patient, the deceased patient’s estate, or to any other person for the release of such medical records.
VII. An affidavit in the following form shall be used by any surviving spouse or next of kin seeking records under this section.
AFFIDAVIT OF SURVIVING SPOUSE OR NEXT OF KIN SEEKING ACCESS TO MEDICAL RECORDS
I, __________ , being duly sworn, do hereby state as follows:
As “Surviving Spouse” or “Next of Kin” to __________ (name of “decedent”), I am requesting a copy of a decedent‘s legal medical record.
I acknowledge and understand that Next of Kin includes the following surviving individuals:
1) Adult child by blood or adoption only in the absence of a surviving spouse.
2) Parent only in the absence of a surviving spouse or adult child.
I represent that, as the surviving spouse, adult child by blood or adoption, parent (circle one) of the decedent, that I am the Surviving Spouse or Next of Kin and that there is no survivor of higher priority.
I hereby represent and affirm that no estate administration has been initiated on behalf of the decedent and that I have not applied and been denied access to the requested records by any court.
I declare subject to the criminal penalty of false swearing established in N.H. Rev. Stat. § 641:2 that the foregoing statements are true and correct.
Date: __________ Signed: __________
STATE OF NEW HAMPSHIRE
COUNTY OF __________
Signed and sworn to (or affirmed) before me on the _____ day of _____ , 20 ___ , by __________ (name of person).
II. (a) “Next of kin” means:
Terms Used In New Hampshire Revised Statutes 332-I:13
- Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
- Decedent: A deceased person.
- following: when used by way of reference to any section of these laws, shall mean the section next preceding or following that in which such reference is made, unless some other is expressly designated. See New Hampshire Revised Statutes 21:13
- Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
- person: may extend and be applied to bodies corporate and politic as well as to individuals. See New Hampshire Revised Statutes 21:9
- state: when applied to different parts of the United States, may extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall include said district and territories. See New Hampshire Revised Statutes 21:4
- sworn: when applied to public officers required by the constitution to take oaths therein prescribed, shall refer to those oaths; when applied to other officers it shall mean sworn to the faithful discharge of the duties of their offices before a justice of the peace, or other person authorized to administer official oaths in such cases. See New Hampshire Revised Statutes 21:25
(1) Adult child by blood or adoption only in the absence of a surviving spouse.
(2) Parent, only in the absence of a surviving spouse or adult child.
(b) If 2 or more relatives in the same category qualify as next of kin, each shall be considered the deceased’s personal representative under this section.
III. (a) Where there is no estate administration, the requestor shall provide:
(1) A notarized affidavit, pursuant to paragraph VII, indicating he or she is authorized to access the patient’s records;
(2) An authorization in compliance with the federal Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. § 1320d et seq., and the regulations implementing such act (“HIPAA”); and
(3) A copy of the death certificate.
(b) Upon request, a health care provider, as defined in N.H. Rev. Stat. § 332-I:1, II(b), shall provide the surviving spouse or next of kin with a copy of the legal medical records of the deceased, unless the deceased has indicated or any court of competent jurisdiction has ordered that the surviving spouse or next of kin not have access to those records. The health care provider shall provide such records within the time frame established under 45 C.F.R. § 164.524(b)(2). Requests under this subparagraph shall be valid within the time frame established under N.H. Rev. Stat. § 508:4.
(c) A health care provider shall not release mental health records or other medical records afforded additional privacy protection under other state or federal law.
IV. A health care provider shall not be required to initiate a conversation with a patient on the subject of access to the information in a medical record by a surviving spouse or next of kin.
V. Any provider shall be justified in relying upon the affidavit provided in accordance with paragraph III.
VI. Any provider or person who in good faith releases copies of medical records in accordance with this section shall not have violated any criminal law or be civilly liable to the patient, the deceased patient’s estate, or to any other person for the release of such medical records.
VII. An affidavit in the following form shall be used by any surviving spouse or next of kin seeking records under this section.
AFFIDAVIT OF SURVIVING SPOUSE OR NEXT OF KIN SEEKING ACCESS TO MEDICAL RECORDS
I, __________ , being duly sworn, do hereby state as follows:
As “Surviving Spouse” or “Next of Kin” to __________ (name of “decedent”), I am requesting a copy of a decedent‘s legal medical record.
I acknowledge and understand that Next of Kin includes the following surviving individuals:
1) Adult child by blood or adoption only in the absence of a surviving spouse.
2) Parent only in the absence of a surviving spouse or adult child.
I represent that, as the surviving spouse, adult child by blood or adoption, parent (circle one) of the decedent, that I am the Surviving Spouse or Next of Kin and that there is no survivor of higher priority.
I hereby represent and affirm that no estate administration has been initiated on behalf of the decedent and that I have not applied and been denied access to the requested records by any court.
I declare subject to the criminal penalty of false swearing established in N.H. Rev. Stat. § 641:2 that the foregoing statements are true and correct.
Date: __________ Signed: __________
STATE OF NEW HAMPSHIRE
COUNTY OF __________
Signed and sworn to (or affirmed) before me on the _____ day of _____ , 20 ___ , by __________ (name of person).