1. As I told you in my previous Answer, a patient is entitled to access as well as to copies of all their medical records and files. The Statute does not give any time frame for this, but where no time is specified in the law or in a document at hand, the law states that the act should be performed "within a reasonable amount of time", with "reasonable" depending on a particular set of circumstances. If I were you, I would not rely on a letter request. I would simply call the practice, ask to speak to someone in charge and saying that I will be at their office on such and such date and time for copies of my medical records, and just do not take "No" for an answer.
2. A charge may be assessed (and usually is) for making copies, but the charge must be "reasonable".
3. Regarding the medical records, I would redact the name wherever it appears and would not include the toxicology report at all.
4. It is completely irresponsible for any doctor who calls himself or herself a member of the medical profession to prescribe medication that they know is addictive, then suddenly cut the patient off. Get the address, telephone number, and the person in charge at the New York Medical Licensing Board and a copy of their Complaint form from them and from the American Medical Association, you will take these with you to the doctor's office. I was not aware that your fiancée was dealing with a Nurse Practitioner. The first step I would take is to call and ask for an appointment on an emerency basis with the doctor who was seeing your fiancée. If necessary, I would park myself in the doctor's office until I spoke with him. During the meeting, I would tell him that a Nurse Practitioner has no business making decisions of whether or not to give any additional prescriptions to a patient. I would also tell the doctor of her attitude with patients. Then, in a diplomatic way, but basically say, "Look, she did not ask for those drugs, you prescribed them for her for the last 4 years. Don't tell me that you're going to suddenly take her off of them, without even tapering them off." Then, if I got no satisfaction from the doctor, I would take out the Complaint forms and say, "We'll see what the Medical Licensing Board and the AMA have to say about the manner in which you and your office staff treat patients". Then, I would proceed to write a brief, concise statement, reporting the doctor to both offices and following up my letter with a telephone call two days later.
Unfortunately, there is no law or Statute to which I can direct you because there is no specific provision for these situations, although I believe that the law should be amended to make it mandatory for a doctor to taper patients off of addictive medications and to prohibit any doctor from doing this. The only document I can direct you to is the Hippocratic Oath which each doctor takes and in which they swear to alleviate suffering and you can bring that up during the meeting with the doctor. Ask him, "How seriously do you take the Hippocratic Oath ?" and "Can you tell me what it means to you ?"
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