Medical Records Affidavit for Saudi Arabia

Medical Records Affidavit Template for Saudi Arabia

A formal sworn statement used in Saudi Arabia to verify the authenticity and accuracy of medical records. This document, governed by Saudi healthcare laws and regulations, serves as an official certification of medical record contents and their maintenance. It includes detailed attestations about the records' creation, storage, and handling, while ensuring compliance with Saudi privacy laws and healthcare regulations. The affidavit can be used in legal proceedings, insurance claims, or other official matters requiring verified medical documentation, and must be executed in accordance with Saudi legal requirements for sworn statements.

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What is a Medical Records Affidavit?

The Medical Records Affidavit is a critical document used in Saudi Arabia when formal verification of medical records is required for legal, administrative, or healthcare purposes. This document type has become increasingly important with the modernization of Saudi healthcare systems and the implementation of stricter documentation requirements under Vision 2030 initiatives. The affidavit serves as a sworn statement that confirms the authenticity, completeness, and accurate maintenance of medical records, while ensuring compliance with Saudi healthcare regulations and privacy laws. It is commonly required in legal proceedings, insurance claims, medical transfers, and other situations where official verification of medical documentation is necessary. The document must be executed by authorized personnel who have direct knowledge of or responsibility for the medical records in question, and it must follow specific formatting and content requirements established by Saudi legal and healthcare authorities.

What sections should be included in a Medical Records Affidavit?

1. Title and Jurisdiction: Clearly states this is a Medical Records Affidavit and identifies the relevant Saudi jurisdiction

2. Affiant Information: Full identification of the person making the affidavit, including name, position, professional credentials, and relationship to the medical records

3. Purpose Statement: Clear statement of the purpose of the affidavit and its intended use

4. Records Identification: Detailed description of the medical records being verified, including patient information, date ranges, and types of records

5. Custody and Control Statement: Declaration of the affiant's authority to access and verify these records and their role as custodian

6. Verification of Authenticity: Statement confirming the records are true, accurate, and maintained in accordance with Saudi healthcare regulations

7. Creation and Maintenance: Description of how the records were created and maintained in the ordinary course of business

8. Compliance Statement: Declaration that the records comply with Saudi healthcare laws and regulations

9. Attestation: Formal statement swearing to the truth of the contents under penalty of perjury

10. Signature Block: Space for affiant's signature, date, and official stamp/seal

What sections are optional to include in a Medical Records Affidavit?

1. Electronic Records Statement: Additional section when dealing with electronic medical records, describing the electronic system and security measures

2. Translation Certification: Required when the medical records are translated from another language

3. Chain of Custody: Detailed section needed when records have been transferred between multiple facilities or custodians

4. Privacy Compliance: Additional section for sensitive cases requiring explicit privacy law compliance statements

5. Professional Qualifications: Detailed section about the affiant's qualifications when the affiant is a medical professional

6. Third-Party Verification: When independent verification of records has been performed by external parties

What schedules should be included in a Medical Records Affidavit?

1. Schedule A - Record Index: Detailed list of all medical records included in the affidavit

2. Schedule B - Document Inventory: Itemized inventory of specific medical documents, test results, or reports being verified

3. Schedule C - Facility Information: Details about the healthcare facility where records were created/maintained

4. Appendix 1 - Credentials: Copies of relevant professional licenses or credentials of the affiant

5. Appendix 2 - System Documentation: For electronic records, documentation about the electronic health record system

6. Appendix 3 - Glossary: Definitions of medical terms and abbreviations used in the records

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Saudi Arabia

Publisher

Genie AI

Document Type

Affidavit

Cost

Free to use
Relevant legal definitions
Relevant Industries

Healthcare

Legal Services

Insurance

Government Healthcare

Medical Research

Pharmaceutical

Clinical Trials

Medical Education

Healthcare Technology

Medical Device Manufacturing

Relevant Teams

Legal Affairs

Medical Records

Compliance

Quality Assurance

Risk Management

Health Information Management

Clinical Documentation

Privacy and Security

Healthcare Operations

Medical Administration

Relevant Roles

Medical Records Manager

Healthcare Facility Administrator

Compliance Officer

Legal Affairs Director

Medical Director

Chief Medical Officer

Health Information Manager

Quality Assurance Manager

Risk Management Officer

Healthcare Operations Manager

Clinical Documentation Specialist

Medical Records Technician

Healthcare Legal Counsel

Privacy Officer

Medical Records Custodian

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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