HIPAA Authorization for DCF

From: Katie Perez @ K.B. Mathis, P.A.
To: David V. Gagne
Sent: July 29, 2013 @ 10:57 AM PDT

Mr. Gagne:

Based on our conversation today, I would like to try to get records from DCF. It is a long shot since they are not a medical provider, but I would like to try. To that end, attached is an authorization form for you to execute and return.

Thank you,

Attachment: HIPAA Authorization-DCF.pdf

From: David Gagne
To: Katie Perez
Sent: July 29, 2013 @ 11:20 AM PDT

Katie,

Thanks. I’ll go get this notarized at lunch today, fax you a copy, and have the original in the mail to you this afternoon.

You can read more about my interactions with DCF and the Department of Elder Affairs immediately before and after mom’s death here:

• http://kathiegagne.com/2012/08/11/an-email-to-michelle-cofano/
• http://kathiegagne.com/2012/08/11/reaching-out/
• http://kathiegagne.com/2012/08/11/investigator-brown/
• http://kathiegagne.com/2012/08/13/updating-investigator-brown/
• http://kathiegagne.com/2012/08/16/re-a-trip-to-the-er/

Please let me know if you need to me reset your website account.

From: David Gagne
To: Katie Perez
Sent: July 29, 2013 @ 01:45 PM PDT

Katie,

I printed this document and got it notarized. Then I faxed it to you at (***) ***-**** and mailed the original to your [redacted] address.

Let me know if there is anything else I can do.

Thanks,