Texas Menicat Boar: October 16, 2018 VIA CERTIFIED MAIL, RRR #7017 2620 0000 2516 4450 Office Administrator Lubbock County Medical Examiner's Office 4434 Loop 289, Lubbock, TX 79414 RE. File #18-9028; Request for Records Dear Office Adminstrator The Texas Medical Board (TMB) is currently conducting an investigation Enclosed 1s a ‘subpoena duces tecum and affidavit to be used in certifying the requested records. Please provide all requested records. with the executed affidavit, to the following address within fourteen (14) days of receipt of this subpoena: SHERRI PARSONS, SENIOR INVESTIGATOR ‘Texas Medical Board - MC-263 P.O. Box 2018 Austin TX 78768-2018 The TMB is a health oversight agency and has statutory authority to conduct licensing and disciplinary actions and is exempt from the requirements of HIPAA. A medical records release authorization is not necessary for the release of these records to the TMB. Failure to comply with this subpoena, pursuant to Texas Occupations Code, Section 160.00%(b), constitules grounds for disciplinary action against the person or entity by the appropriate licensing board and/or lawsuit filed by the Texas Attomey General. If you do not have the medical record(s) and/or film(s) as requested by this subpoena, you are to provide the completed and properly executed affidavit(s) of no record. Please know that you will be held responsible for the timely production of all documents requested herein even if you and/or your facility contract with a document retrieval service to handle such matters. Please include an invoice for any medical record copies and/or diagnostic film copies with your response to this subpoena. Electronic imaging should be submitted in unencrypted DICOM format suitable for import into our system. Proprietary imaging systems should export their data into this standard format. Video evidence should be submilled in MPEG format and audio should be submitted in MP3 format For any questions related to the billing/payment of copying fees, please contact the TMB Finance Department at 512-305-7050. Please contact me at (512)588-3765 if you have any questions. Location Addeess: Malling Address Phone S12 3087020 I CuadalsperTo 19 -MG2ta RO Lowat 279.959. “Austin, Texas 76701 “Austin, Texas 79758 ssoewy tm atesTEXAS MEDICAL BOARD THE STATE OF TEXAS SUBPOENA DUCES TECUM COUNTY OF TRAVIS c TO ANY SHERIFF OR ANY CONSTABLE OR ANY INVESTIGATOR OF THE TEXAS MEDICAL BOARD WITHIN THE STATE OF TEXAS - GREETINGS: You are hereby commanded to summon: Office Administrator Lubbock County Medical Examiner's Office 4434 Loop 289 Lubbock, TX 79414 to be found at the location designated above, to personally appear on the first business day following fourteen (14) days from service of this subpoena, at the Texas Medical Board, 333 Guadalupe, Tower 3, Suite 610, Austin, Travis County, Texas and upon appearance to provide to representatives of the Texas Medical Board the documents or items set forth in Attachment A appended to this subpoena and incorporated herein for all purposes. These documents and items are sought in connection with a certain administrative investigation or proceeding there pending in regard to file number 18- 9028. In the alternative, compliance with this subpoena may be accomplished without a personal appearance of the specified individual by providing by certified mail or hand- delivery to the designated representative(s) of the Texas Medical Board on or before the appearance date set forth above, certified true and legible copies of the documents or items listed in Attachment A of this subpoena, The designated representative(s) of the Texas Medical Board for alternative compliance is SHERRI PARSONS, SENIOR INVESTIGATOR Texas Medical Board- MC 263 P.O. Box 2018 Austin, TX 78768 HEREIN FAIL NOT, and of this subpoena make due return showing when and how you have executed the same. By service of this subpoena, the individual named herein is COMMANDED AND SUMMONED under the authority of the Tex. Occ. Code Ann. Section 153.007 (Vemon 2004) to personally appear on the first business day following fourteen (14) calendar days from service of this subpoena, at the Texas Medical Board, Tower 3, Suite 610, Austin, Travis County, Texas and upon appearance to provide to representatives of the‘Texas Medical Board the documents or items set forth in Attachment A appended to this subpoena and incorporated herein for all purposes, or in the alternative to provide to the designated representative of the Texas Medical Board on or before the appearance date set forth above, by mail or hand-delivery, certified true and legible copies of the documents or items listed in Attachment A of this subpoena Given under my hand and authority from the office at Austin, Travis County, Texas, on this the 16th day of October, 2018. ATTEST. Hpbi. Loo wlbon Stephen Brint Carlton, J.D. Executive Director RETURN CAME TO HAND THIS 16th day of October, 2018 at 10 o'clock AM, and executed this 16th day of October, 2018 at 11 o'clock AM, by serving the within named witness, via Certified Mail Return Receipt #7017 2620 0000 2516 4450. ay end Parsons Investigator