R156-78B-16b. Affidavits of Merit - Affidavit of Counsel

  Each affidavit of merit executed by the claimant's attorney or by a pro se claimant as required by Subsections 78B-3-423(1) and (2)(a) shall include the following text immediately prior to the affiant's signature:

TABLE V

     I hereby certify:

     1. that I have consulted with and reviewed the facts of the

case with a health care provider (or providers) who meet(s) the

requirements of Utah Code Subsection 78B-3-423(4);

     2. that the provider (or providers) has (have) determined

after a review of the medical record and other relevant material

involved in the particular action that there is a reasonable and

meritorious cause for the filing of a medical liability action with

respect to (identify by name each respondent included in the

affidavit(s) of merit); and

     3. that if I file an action in court against a respondent,

I will notify the Division within 60 days of the filing in

accordance with Utah Administrative Code R156-78B-17.

     The affidavit(s) of merit are attached.