NO.  	

STATE OF TEXAS	§	IN THE   	JUDICIAL	
	§		
vs.	§	DISTRICT  COURT	
	§		
	§	DALLAS COUNTY, TEXAS	

ORDER GRANTING  MOTION  FOR ORDER TO OBTAIN PROTECTED HEALTH  INFORMATION UNDER HIPAA

On this day, the Court considered Defendant’s Motion for an Order to Obtain Protected Health Information under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) of                                     , a witness in this case.
After considering the pleadings and arguments of the parties, the Court finds that the

Motion is well-founded and should be GRANTED.	The Court further finds that the protected

health   information   of    	

is  relevant  and  necessary  in  this  case  because

 	.   The mental or physical condition and fitness of   	is a primary issue in this case.
IT IS THEREFORE ORDERED that under C.F.R. § 164.512(e), the following entity or entities shall release the following protected health information of                                          to Michael Mowla, attorney for                    , at P.O. Box 868, Cedar Hill, TX 75106, phone (972)
795-2401, fax (972) 692-6636, and email michael@mowlalaw.com:

 	, Texas  	

Dates of healthcare services provided:    	

to  	

Information ORDERED to be released to Michael Mowla: Entire health records in the possession of healthcare provider, including progress notes, laboratory reports, operative reports, discharge summary, radiology reports, consultation reports, X-ray or other images, photographs/videotapes, test results, consultations,

correspondence, and hospital records.

Michael Mowla is ORDERED to tender a copy of the information received from

                                 to the attorney for the State of Texas.   Michael Mowla, his client, and agents, and the State of Texas, its attorneys, and agents are ORDERED to not disseminate any of the protected health information to any other person or entity without prior approval and express order of the Court.

Date:   	

Judge Presiding